腹腔镜下筋膜内巨大子宫切除39例分析

目的:探讨腹腔镜下筋膜内巨大子宫切除术的安全性和临床应用价值。方法:对39例子宫大小超过12孕周的患者行腹腔镜下筋膜内子宫切除术(CISH),并对其临床资料进行回顾性分析,包括手术时间、子宫重量、术中出血量及并发症。结果:所有手术均在腹腔镜下完成,无1例中转开腹,平均手术时间107min(56~149min),切除子宫的平均重量659g(306~1730g),术中平均出血128ml(50~520ml),有1例术中出血超过500ml,经适当处理后,预后良好,无其他手术并发症发生。结论:腹腔镜下筋膜内巨大子宫切除术是安全可行的,但术者必须熟练掌握手术技巧。

Clinical study on oviduct infertility cases performed under hysteroscopy combined with laparoscopy

Objective:To investigate the safety and clinical value of classical intrafascial supracervical hysterectomy (CISH) of gigantic uterus under laparoscopy.Methods:The uteris of thirty-nine cases larger than 12-week pregnant uteri accepted CISH to retrospectively analyze the data involved the operating time, weight of the uterus, blood loss during operation and complications. Results:All operations were performed successfully under laparosopy. The average operating time was 107 (56~149) min, the weight of the uterus was 659 (306~1 730) g, blood loss in operation was 128 (50~520) ml, only one of them was above 500 ml and it was recovered well after proper management. No other complications happened.Conclusion:Laparoscopic CISH of gigantic uterus is safe and feasible, but operators must grasp operating techniques skillfully.