腹腔镜全子宫切除术手术技巧.docVIP

腹腔镜全子宫切除术手术技巧【摘要】 目的 总结腹腔镜全子宫切除术的手术技巧,尤其是LigaSure在此手术临床应用的价值,省时,损伤小,无出血,无并发症的发生。方法 回顾分析2005年6月至2008年6月本院妇产科为356例患者施行腹腔镜全子宫切除术,近2年腹腔镜全子宫切除术,全部使用LigaSure的临床资料。结果 手术开展初期,未使用LigaSure发生并发症10例,7例及时采取措施治愈,3例中转开腹治愈,余手术效果均满意。手术时间由最初的最长6 h,平均4 h,近2年应用LigaSure后平均手术时间为1.5～2 h,最短40 min,损伤小,无出血,无并发症发生。手术效果非常满意。结论 应用LigaSure在腹腔镜全子宫切除术的临床价值很高,省时,无出血,无并发症,术后恢复快,充分体现全子宫切除术在腹腔镜下完成的可行性,同时也体现了微创手术在妇产科领域的优势。 【关键词】 全子宫切除术;腹腔镜术;LigaSure LaparoscopyOperatedtechnicality of hysterectomy CUI Shu-ping,JIAN Li-xia,LI Qiu-xia. Mei He Kou City Hospital,Mei He Kou,Ji Lin135000 China 【Abstract】 Objective To summarize the laparoscopy operated technicality of hysterectomy,especially the value of clinical use LigaSure at this operation,save time,no blood, no complication.Methods The study included 356 patients who was given the operation of hysterectomy from June 2005 to June2008.Recently this two years,all operate of laparoscopy hysterectomy, LigaSure all were used.Results Initial stage of the operation we had 10 complication.Because we took emergency effective measures,7 of this complications were cured.3 of the complications were changed to common operation.The others operated effect were all satisfied.Because we used theLigaSure, the operation time from longest 6 hours,average 4 hours reduced to average 1.5~2 hours no blood, no complication.The operated effect were all satisfied.Conclusions LigaSure being used in operate of laparoscopy hysterectomy have important value,savig time,no blood, no complication, after the operation, resume is faster.This can full shows the feasibility thatoperation of hysrerectomy is finished by laparoscopy.And this can shows the superiority ofmicro operation at Gynecologic field. 【Key words】 The operation of hysterectomy;Laparoscopy; LigaSure 2005年6月至2008年6月本院妇产科为356例患者施行腹腔镜全子宫切除术,后2年均使用LigaSure完成,效果很好,现报道如下。 1 资料与方法 1.1 临床资料 患者年龄45～68岁,平均48.5岁。手术指征:子宫肌瘤246例,子宫肌腺症69例,功能失调性子宫出血27例,宫颈CINIII级9例,多发宫内膜息肉合并宫颈糜烂5例。其中89例有合并症(合并糖尿病36例、甲低3例,肝病6例,贫血 20例,