腹腔镜全子宫切除术的临床效果分析

Clinical analysis of total laparoscopic hysterectomy

目的：探讨腹腔镜全子宫切除术的临床价值。方法：对患有子宫肌瘤、子宫肌腺病、功能失调性子宫出血的68例患者施行腹腔镜全子宫切除术。结果：手术成功66例,中转开腹1例,并发症1例,成功率97%,平均手术时间50~190 min,术中出血量95~265 ml,术后住院3~6天。结论：腹腔镜全子宫切除术创伤小,腹腔干扰轻,恢复快,值得临床推广应用。

Objective：To investigate the clinical effect of total laparoscopic hysterectomy.Methods：Total laparoscopic hysterectomy were performed in patients with uterine myoma,adenomyosis and functional uterine bleeding.Results：All the 66 patients were operated successfully,one case was performed conversion to open laparotomy,complication occurred in one case.The success rate was 97%.The mean duration of surgery was 50-190 min,the mean bleeding quantity was 95-265 ml,duration of hospitalization ranged from 3 to 6 days.Conclusions：Total laparoscopic hysterectomy should be applied in clinical extensively,for its small trauma and low abdominal disturbance.