腹腔镜下大子宫切除87例临床分析

The clinical analysis of hysterectomy of gigantic uterus for 87 cases under laparoscopy

目的:探讨腹腔镜下大子宫(孕12周以上)切除的可行性及安全性,将87例腹腔镜下因子宫良性疾病需行子宫切除大子宫与同期97例开腹大子宫切除对照进行回顾性分析。方法:2000年9月至2003年8月,我院共完成腹腔镜大子宫切除术87例,与同期开腹大子宫切除术97例作比较。结果:两组手术时间、术中出血量、术后病率及术后恢复均有显著差异(P<0.05)。两组均无并发症发生。结论:腹腔镜下能顺利进行大子宫切除,是一种较理想的手术方式。

Objective：To investigate the feasibility and security of laparoscopic hysterectomy （LH） of gigantic uterus. Methods：A retrospective analysis on 87 cases of laparoscopic hysterectomy of large uterus. （the size equivalent to 13-24 pregnant weeks） compared with 97 cases of transabdomnal hysterectomy （TAH） of large uterus （13-23w）. Results：87 of LH were successfully compared with TAH. The average duration of operation of LH more than those of TAH （P 〈 0. 01 ） . But in the guantity of bleeding,the postoperative morbidity rate and reeovered time. The cases of LH were signifieantly less than those of TAH（ P 〈 0.05 ）. Conclusions： LH can applied completely to cases with large uterus. LH of cases has many advantages in less loss, less pain,more quick recovery and fewer complication.