全腹腔镜下大子宫全切术178例安全性分析

赵新玲

（洛阳市妇女儿童医疗保健中心，河南  洛阳，471000）

中图分类号：R271.9    文献标识码：A    文章编号：1674-7860（2016）06-0137-02    证型：IDGB

【摘  要】目的：探讨全腹腔镜下大子宫全切术的安全性。方法：回顾性分析2013年3月—2015年3月我院妇科腹腔镜下超3月大子宫全切术178例病例资料，分析手术各项手术指标和术后指标，总结手术技巧，评价手术的安全性和有效性。结果：178例均顺利完成手术，无中转开腹，手术时间80～180min，术中出血量20～150 ml，术后发生下肢静脉血栓6例，切口愈合不良3例，皮下血肿1例，余均无并发症出现。结论：病例选择合适，手术技巧掌握得当，全腹腔镜下大子宫全切术时安全、可行的。

【关键词】大子宫；腹腔镜；子宫全切；安全性

【Abstract】Objective：To explorethe safety of total laparoscopic hysterectomy of large uterus. Methods: Theclinical data of 178 patients with total laparoscopic hysterectomy, who weretreated in our hospital from March 2013 to March 2015, were retrospectivelyanalyzed, including all kinds of operation indexes and postoperative indexes,the surgical technique was summarized and the safety and effectiveness of theoperation were evaluated. Results: All the operations were completedsuccessfully, the operation time lasted 80～180 min,the intraoperative blood loss was 20～150 ml,there was no transition to laparotomy, but there were 6 cases of veinthrombosis of leg, 3 cases of unfavorable wound healing and 1 case ofecchymosis, there was no complications in other cases. Conclusion: Totallaparoscopic hysterectomy of large uterus was safe and feasible with the rightcase choosing and proper laparoscopic skills,.

【Keywords】Large uterus; Laparoscopy; Hysterectomy; Safety

doi:10.3969/j.issn.1674-7860.2016.06.068

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