腹腔镜下大子宫切除术30例临床分析

Clinical analysis of 30 cases of laparoscopic hysterectomy

目的:探讨腹腔镜下子宫>12孕周患者全子宫切除术的临床效果,并比较子宫<12孕周患者腹腔镜下全子宫切除术。方法:收治子宫>12孕周行腹腔镜全子宫切除术患者30例,作为观察组;另选取同期子宫<12孕周行腹腔镜全子宫切除术患者30例,作为对照组。比较两组患者的手术及术后康复情况。结果:两组手术顺利,均无中转开腹病例,无盆腔脏器损伤。观察组手术时间长于对照组、子宫重量重于对照组(P<0.05)。结论:大子宫全切除术效果较好,对盆底功能的损害小,安全性较高。

ObjectiveTo explore the clinical effect of laparoscopic complete hysterectomy in patients more than 12 weeks ofpregnancy,and to compare laparoscopic complete hysterectomy in patients less than 12 weeks of pregnancy.Methods：30 patientsmore than 12 weeks of pregnancy with laparoscopic complete hysterectomy were selected as the observation group.30 patients lessthan 12 weeks of pregnancy with laparoscopic complete hysterectomy were selected as the control group.The operation andpostoperative recovery of the two groups were compared.Results：The surgeries of two groups were successful,and there was noconversion to open surgery and no pelvic organ injury.The operation time of the observation group was longer than that of thecontrol group,and the uterine weight was more than that of the control group（P〈0.05）.Conclusion：The complete hysterectomy hasbetter effect.It has small harm on the pelvic floor function,and the safety is higher.