腹腔镜筋膜内子宫切除术的临床评价

Clinical evaluation of the laparoscopic intrafascial supracervical hysterectomy

目的观察腹腔镜筋膜内子宫切除术的临床效果。方法对46例行腹腔镜筋膜内子宫切除术患者的术中情况及术后并发症等进行回顾性总结。结果46例均顺利完成腹腔镜筋膜内子宫切除术，术中无肠管、膀胱、输尿管损伤等严重并发症发生。近期并发症4例，其中盆腔血肿1例，盆腔感染1例，宫颈管残腔积血2例；远期并发症5例，其中官颈管残腔周期性出血2例，宫颈腺囊肿、盆腔包裹性积液、宫颈管息肉样增生各1例。结论腹腔镜筋膜内子宫切除术术中并发症少，但术后并发症发生率高，因此手术方法有待改进。

Objective To observe the clinical effect of laparoscopic intrafascial supracervical hysterectomy. Methods The complications during and after the operation of laparoscopic intrafascial supracervical hysterectomy of 46 patients were reviewed and summarized retrospectively. Results Laparoscopic intrafascial supracervical hysterectomy of 46 cases had been done well without significant complications, such as injury of intestine, bladder and ureter. Four cases had complications in short term, one was pelvic hematoma, one was pelvic infection, and two were hematocele in cervical canal. There were five cases had complications in long term. Residual cavity periodic hemorrhage in two cases, cervical gland cyst, pelvic parcel effusion and cervical polypoid hyperplasia each in one case. Conclusions There are less complications during the laparoscopic intrafascial supracervical hysterectomy ,while much more after the surgery. Therefore, the surgical method needs to be improved.