腹腔镜筋膜内子宫切除1000例及并发症分析

Analysis of 1000 Cases of Intrafascial Hysterectomy with Laparoscope and its Complication

目的:探讨腹腔镜筋膜内子宫切除手术效果及并发症的发生、防治。方法:回顾性分析1997年2月至2004年9月1000例腹腔镜筋膜内子宫切除术及并发症情况。结果:手术时间为84.52±41.67分,估计失血量为182.96±131.24 ml,住院时间为6.86±3.63天。术中并发症发生率8.4%,术后并发症发生率为3.7%,经保守性处理预后良好,均未经再开腹手术。结论:腹腔镜筋膜内子宫切除术安全、可靠,并具有创伤小、恢复快、住院时间短、同时兼有全子宫切除及次全子宫切除之优点。虽有术中、术后特有并发症的发生,但提高手术操作技巧,同时重视并发症的防治,效果良好。

Objective：To explore the operative effect of intrafascial hysterectomy and the prevention and management of its complication. Methods： 1000 cases of intrafasdal hysterectomy performed from February 1997 to September 2004 were retrospectively analyzed. Results： The operative time was 84.52 ±41.67 minutes. The evaluated blood loss was 182.96±131.24 ml. The hospitalization time was 6.86±3.63 days.The incidence rate of peri-opera- tive complication and post-operation was 8.4% and 3.7%, respectively. The complications were cured satisfactorily through conservative intervention with good wound healing. Conclusions： The operative procedure is safe and reliable with minimal damage,rapid recovery and short hospitalization day.This operation possesses lhe advantages of hysterectomy and subtotal hysterectomy and is worthy of recommendation widely.