改良式腹腔镜鞘膜内子宫切除术178例分析

The clinical observations of the modified hysterectomy within the tunica vaginalis by use of celioscope in178cases

目的 :探讨改良式腹腔镜鞘膜内子宫切除术手术指征、手术操作及临床应用价值。方法 :回顾分析 2 0 0 0年 8月至 2 0 0 2年 10月间行改良式腹腔镜下鞘膜内子宫切除术 178例患者的临床资料。结果 :178例均手术顺利 ,平均手术时间 98 2 7± 2 6 6 5min ,术中出血量 116 11± 5 3 5 0ml。平均术后住院时间 5 16±1 5 1d。无手术并发症。结论 :该术式具有创伤小 ,出血少 ,恢复快 ,并发症少 ,保护器官功能等优点 ,是一种安全、理想的手术方式。腹部手术史并非腹腔镜手术的绝对禁忌证。

Objective:To investigate the surgical indications,operational methods and clinical applications of modified hysterectomy within the tunica vaginalis by using celioscope.Method:One hundred and seventy eight cases who received modified hysterectomy within the tunica vaginalis by using celioscope were reviewed.Results:The one hundred and seventy eight cases were all performed successfully with no syndrome occurred.The average operation time is98.27min with a standard deviation of26.65min.The amount of bleeding in the operation is about116.11ml with a standard deviation of53.50ml.The average time in hospital is5.16days with a average of1.51days.Conclusions:It is seemed that this method is a safe,ideal one which has many advantages,such as minimal trauma,little bleeding,little syndrome and rapid recovery.The history of abdomen surgery is not the contraindication absloutly.