腹腔镜下大子宫切除术168例临床体会

目的探讨腹腔镜下大子宫(子宫体积12孕周)切除术的手术技巧、安全性、可行性。方法回顾性分析2010年3月至2013年6月郑州市妇幼保健院168例子宫体积12~20孕周有手术适应证行腹腔镜子宫全切术患者的临床资料。结果 168例均在腹腔镜下顺利完成手术,无一例出现严重并发症,其中2例术中出现轻度皮下气肿,给予观察,1例术后出现阴道残端感染,抗感染治疗后痊愈出院。结论选择合适的病例,具有熟练的镜下操作技术及手术技巧,腹腔镜下大子宫切除术是安全、可行的,不增加手术风险及并发症。

Clinical experience of hysterectomy of enlarged uterus under laparoscopy with 168 cases

Objective To explore the operative technique,security and feasibility of hysterectomy of enlarged uterus under laparoscopy. Methods The clinical data of 168 patients with surgical indications of 12 ~ 20 gestational weeks uterine volume were conducted total laparoscopic hysterectomy from March 2010 to June 2013 in Zhengzhou Maternal and Child Health Hospital were retrospectively analyzed. Results All the operations were completed successfully,no one appeared severe complications,2 cases appeared mild subcutaneous emphysema,1 case appeared vaginal stump infection which recovered after anti – infection treatment.Conclusion With right case choosing,skilled laparoscopy operation technology and operation skills,laparoscopic hysterectomy of enlarged uterus is safe and feasible.