腹腔镜辅助阴式全子宫切除术122例临床分析

目的:探讨县级医院腹腔镜辅助阴式全子宫切除术的安全性和效果。方法:对2009年1～12月实施腹腔镜辅助阴式全子宫切除术122例患者进行回顾性分析。结果:122例患者中,全子宫+双侧附件切除术8例,全子宫+单侧附件切除术23例,全子宫切除术91例。122例患者全部成功实施腹腔镜辅助阴式全子宫切除术,手术时间70～140分钟,术中出血量100～300ml,无1例大出血及并发症发生。结论:腹腔镜辅助阴式全子宫切除术拓宽了阴式子宫切除术的范围,为腹腔镜手术的进一步开展奠定了基础。具有创伤小、恢复快、住院时间短、效果好等优点,与其他术式相比,并发症少,是一种安全、可行的手术方式。

Objective：to study the county hospital laparoseopic hysterectomy auxiliary Yin type all the safety and effect. Methods：the data from January 2009 to December 2009, implement laparoscopic hysterectomy auxiliary Yin type all 122 patients were retrospectively analyzed. Results： 122 patients, whole uterine ＋ bilateral annex resection in 8 cases,all the uterus ＋ unilateral annex resection in 23 cases, whole hysterectomy 91 patients. 122 patients all successful implementation laparoscopic hysterectomy auxiliary Yin type all the time of the operation, 0 - 140 min, peri - operative bleeding 100 30Oral, no one massive haemorrhage and complications. Conclusions： laparoscopic hysterectomy auxiliary Yin type all widened the scope of Yin type hysterectomy for laparoscopic surgery for the further development of laid a foundation. With small trauma, quick recovery, the length of time is short, the effect is good wait for an advantage,compared with other procedures, fewer complications,it is a safe and feasible operation method.