腹腔镜下子宫切除128例体会

The experience of 128 cases of laparoscopical hysterectomy the belly cavity mirror next the womb cut off

目的:讨论腹腔镜下子宫切除术式选择及临床应用体会。方法:我院自2002年5月至2005年5月对128例子宫良性疾病需子宫切除术的患者分别施行了鞘膜内子宫切除术、子宫次全切除术及腹腔镜辅助下阴式子宫切除术。结果:手术均获成功,平均手术时间为118m in,平均出血量为(60±10)m l,平均住院5d,无中转开腹,无副损伤。结论:腹腔镜下子宫切除术损伤小、出血少,恢复快,明显优于开腹手术。若正确选择术式,腹腔镜手术适应证明显扩大。

Objective： To discuss the selection of modus operandi and experience of laparoscopical hysterectomy. Methods： 128 cases with benigh uterive disease who needed hysterectomy were performed intrafacia hysterectomy,subtotal hysterectomy and vaginal hysterectomy respectively. Results： All the surgical operation were successful. Average surgical operationtime is 118minutes,the average bleeding is （60 ± 10）ml, the average hospitalization is 5 days, there are no compilations. Conclusions： The advantages of laparoscopically hysterectomy are microincasive,less bleeding and rapid recovery. If modus operardi is selected correctly, the indication of lap- aroscopic surgery is obviously expandell.