腹腔镜辅助阴式子宫切除术并发脏器损伤.pdfVIP

·1098· 主垦邀剑丛型苤查垫!!生!!旦笙!!鲞笠!!塑 临床论著· 腹腔镜辅助阴式子宫切除术并发脏器损伤 徐金贵金 晶 忻悦 (浙江省衢州市人民医院妇科，衢州324000) assisted 【摘要】 目的探讨腹腔镜辅助阴式子宫切除术(1aparoseopievaginal 理。 管、主骶韧带及缝合阴道残端。 例。3例膀胱损伤术中行修补术，术后留置导尿2周拔管。2例直肠损伤术中行破口修补缝合，术后流质饮食，排便后正常饮 食。2例输尿管损伤，1例术中行输尿管断端缝合术并放置双J管，1例术后25d开腹探查行输尿管膀胱植入放置双J管治 愈。7例术后随访1～3个月，愈合良好，无并发症发生。结论LAVH并发周围器官损伤与手术难度及手术操作有关。加 强手术医师技巧培训及术前评估、注意术后观察，有利于减少并发症、及时发现病情变化。 【关键词】 腹腔镜辅助阴式子宫切除术； 脏器损伤 中图分类号：R713．4+206文献标识：A 文章编号：1009—6604(2012)12—1098—03 Caused xM OrganInjury byLaparoscopic-assistedVaginalHysterectomy of Jingui，finring，XinYue．DepartmentGynecology， 324000，China Zh4iangQuzhouPeople’sHospital，Quzhou 【Abstract】 To thecausesand of Objectiveinvestigate managementorganinjuryduringlaparoscopic-assistedvaginal MethodsFromMarch2009toDecember LAVHon317 ofthem hysterectomy(LAVH)． 2010，weperiormed patients，7 theuterineadnexawerehandledwith oftheuterine organ developedinjury．After laparoscopy，weperformedtransvagina]ligation and then utero—sacral closedthe ResultsTheincidencerateof vessels，cardinal ligaments，and vaginalstump． organinjuryduring LAVHwas the7 hadbladder hadrectal theothertwohadureteral 3 2．2％(7／317)．Incases，3 injury，2 injury，and injury．The hadbladder intra—LAVH for2 then catheterizationweeks．Therectal patients，who injury，receivedrepair，andpostoperative rupture wassutured the