摘要
目的 探讨腹腔镜子宫切除术 4种术式的临床价值。 方法 对腹腔镜筋膜内子宫切除术(classicalintrafascialsupracervicalhysterectomy, CISH) 11例,腹腔镜辅助阴式子宫切除术(laparoscopicassistedvaginalhysterectomy, LAVH)9例,腹腔镜下次全子宫切除术 (subtotallaparoscopichysterectomy, SLH) 10例及腹腔镜下全子宫切除术 (totallaparoscopichysterectomy,TLH)11例进行回顾性分析。 结果 CISH、LAVH、SLH及TLH4组的手术时间、术中出血量、术后排气时间及术后住院时间均无统计学差异(P>0. 05)。4组术后病率均为 0,均无严重并发症。 结论 4种术式安全可行,但应根据病人的具体情况选择。
Objective To investigate the clinical value of four kinds of laparoscopic hysterectomy. Methods A retrospective analysis was made on 11 cases of classical intrafascial supracervical hysterectomy (CISH), 9 cases of laparoscopic assisted vaginal hysterectomy (LAVH), 10 cases of subtotal laparoscopic hysterectomy (SLH) and 11 cases of total laparoscopic hysterectomy (TLH). Results There was no statistical significance in operating time, intraoperative blood loss, time to first flatus and postoperative hospital stay among the four groups ( P >0 05). No postoperative pyrexia and severe complications occurred in all the four groups. Conclusions The four procedures are all safe and feasible. The selection of these procedures is based on the patient’s individual conditions.
出处
《中国微创外科杂志》
CSCD
2005年第3期184-186,共3页
Chinese Journal of Minimally Invasive Surgery
