摘要
目的探讨腹腔镜下全子宫切除术中子宫血管处理方法。方法回顾性分析89例腹腔镜下全子宫切除术中子宫动静脉处理方法。分析宫旁缝扎组的手术时间、术中出血量及术后病率,并与子宫动脉游离结扎组及腹腔镜联合阴式子宫切除术组进行比较。结果子宫血管缝扎组与血管游离后处理组患者的手术时间、术后出血量及术后病率比较差异无显著性(P>0·05);子宫血管缝扎组与腹腔镜联合阴式子宫切除术组的手术时间及术后病率比较差异无显著性(P>0·05),但子宫血管缝扎组出血量明显减少(P<0·05)。结论宫旁缝扎子宫动静脉后电凝切断子宫血管及主韧带,需要的器械简单,操作简便,手术野清晰,容易推广,在腹腔镜子宫切除术中有较大的临床应用价值。
Objective To explore different approaches of total hysterectomy under laparoscope. Methods The managements of uteri artery and vein of 89 patients underwent total laparoscopic hysterectomy were analyzed retrospectively, The operation time, the volume of blood loss and post - operative morbidity were compared among three approaches： transfixion suturing para - uteri and ligation （ uteri vessels suturing group）, dissociating uteri artery followed by block methods （ uteri artery dissociation group） and laparoscope assistant vaginal hysterectomy （LAVH group）. Results The operation time, the volume of blood loss and postoperative morbidity presented no significant difference between the uteri vessels sutruing group and urteri artery group （ P 〉 0.05）. The uteri vessels suturing group showed no significant difference to the LAVH group on operation time and postoperative morbidity （P〉0.05）, yet less blood loss （P〈0.05）. Conclusions Suturing para- uteri and ligation of the uteri vessel followed by ligation and cut cardinal ligament by electric coagulation was easy to perform, demanding simple instruments, and give a clear operative field. This approach is of important value in laparoscopic hysterectomy.
出处
《中国妇产科临床杂志》
2005年第5期343-345,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
