腹腔镜下改良式子宫全切术术式探讨

Application of Improved Laparoscopy in Hysterectomy Operation

目的：分析评价改良腹腔镜下子宫全切术的疗效及安全性。方法：应用改良方法对70例患者进行腹腔镜下子宫全切术，观察手术情况、手术时间、术中失血量及手术后患者腹痛及阴道出血的变化，术后随访（2—8）周。结果：所有手术均取得成功，痊愈出院，手术时间平均68．4分钟，术中出血平均35mL，术后住院时间（4—5）天，术后8周已无明显自诉不适及阳性体征。结论：该手术安全有效，可明显减轻患者术后发热、腹痛、减轻创面的炎性反应。因此该手术具有良好的临床推广价值。

Objective：To evaluate the security and efficiency of hysterectomy operation by application of improved laparoscopy. Methods：Hysterectomy was performed in 70 patients by improved laparoscopy and the operating time, bleed and relative status in patients were recorded, followed up for 2 to 8 weeks. Results： The hysterectomy operation under condition of improved laparoseopy is excellent for patients and there is a shorter operating time （mean 68.4 min. ） and less bleed （35mL） with no discomfort and complications. Duration of the follow -up survey, the patients had a good status. Conclusions： Use of improved laparoscopy in hysterectomy can relieve pain and infective occurrence; it is a useful way and is security in clinic.