【摘要】 目的探讨电视腹腔镜在子宫肌瘤剔除术和子宫切除术中的应用价值。方法回顾性分析腹腔镜下子宫肌瘤剔除腔内缝合30例和腹腔镜辅助阴式子宫切除(laparoscopic assisted vaginal hysterectomy,LAVH)与筋膜内子宫切除(classical intrafascial supracervical hysterectomy,CISH)手术28例资料。结果58例全部成功完成,手术时间分别为(89.4±12.1)min和(108.5±10.2)min。术后第2天血红蛋白下降率11.3%±3.3%和14.2%±3.2%,住院时间(5.6±0.2)d和(6.6±0.5)d。58例术后随访3~17个月,平均11.4月,并发症2例(3.4%)。结论腹腔镜子宫肌瘤剔除和子宫切除手术创伤小、恢复快。更多还原

【Abstract】 Objective To explore the clinical value of myomectomy and hysterectomy under laparoscope.Methods Fifty-eight cases of gynecological laparoscopic surgery were analyzed retrospectively,including 30 cases of myomectomy and 28 cases of classical intrafascial supracervical hysterectomy(CISH) or laparoscopic assisted vaginal hysterectomy(LAVH). Results The laparoscopic operation was successfully completed in all the 58 cases.The operation time was 89.4±12.1 min for myomectomy and 108.5±10.2 min for hysterectomy.On the second postoperative day,the decrease rate of hemoglobin was 11.3%±3.3% and 14.2%±3.2%.The length of hospital stay was 5.6±0.2 d and 6.6±0.5 d.Postoperative follow-up in the 58 cases for 3～17 months(mean,11.4 months) found 2 cases of complications(3.4%). Conclusions Laparoscopic myomectomy and hysterectomy offers little invasion and rapid recovery.更多还原