腹腔镜血管缝扎及阴道残端悬吊子宫切除术162例分析

Transfixion uterine vessel and vaginal stump suspension laparoscopic hysterectomy-an analysis of 162 cases

目的探讨腹腔镜双侧子宫血管缝扎阴道残端悬吊子宫切除术的临床应用价值。方法回顾分析2010年5月~2011年5月进行上述改良式腹腔镜全子宫切除术162例临床资料。结果 所有手术均在腹腔镜下完成,无中转开腹,平均手术时间40.3 min,平均术中出血量54 mL,平均住院日5.5 d,2例术后出现少量阴道流血,应用止血药物,4 d后血止。结论改良式腹腔镜全子宫切除术经济、安全,创伤小,并发症少,是一种值得在临床推广的术式。

【Objective】To evaluate the value of clinical application of bilateral transfixion uterine vessels and vaginal stump suspension laparoscopic hysterectomy.【Methods】The clinical data of 162 cases received modified laparoscopic hysterectomy in the May 2010 to May 2011 was retrospectively analyzed.【Results】All cases were completely performed under laparoscopy,no case was transferred to laparotomy.The mean time of operation was 40.3 min.The mean blood loss was 54 ml.The mean stay in hospital was 5.5 days.Two cases suffered from postoperative vaginal bleeding and stopped 4 days later by using hemostatic drugs.【Conclusions】It is shown that this modified laparoscopic hysterectomy had following advantages： economic,security,mini-invasive and less complications.It is a surgical procedure of laparoscopic hysterectomy for clinical promotion.