改良腹腔镜筋膜内子宫切除术被引量：35

Modified classic intrafascial hysterectomy under laparoscope

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摘要目的　探讨改良腹腔镜筋膜内子宫切除术 (MCISH)的手术效果及临床应用价值。方法　自 2 0 0 0年 2月以来 ,45例因各种良性妇科疾病而需行子宫全切术的患者中 2 5例采用采用MCISH术式 ,2 0例采用腹腔镜辅助阴道式全子宫切除术 (LAVH)。结果　MCISH和LAVH相比术中失血量和术后并发症发生率较低 (P <0 0 5 ) ,其平均手术时间相对较短但无统计学意义 (P >0 0 5 )。两组患者平均住院日无显著差异。结论　MCISH较LAVH术手术时间短、术中失血和术后并发症少。我们认为对于有宫颈病变的良性子宫疾病患者MCISH是首选的手术方式。 Objective To evaluate the efficacy and clinical value of our modified classic intrafascial supracervical hysterectomy (MCISH) with laparoscopy. Methods The data of 45 women with benign gynecological disorders undergoing laparoscopic hysterectomy from February 2000 to April 2001 were reviewed. Of them, 25 women received MCISH, 20 had laparoscopic assisted vaginal hysterectomy (LAVH). Results The women undergoing MCISH had lower complication rate and less estimated blood than those of LAVH ( P <0.05). Although MCISH had a shorter operating time, no statistically significant differences was found between the 2 groups. The average hospitalization time was similar in the 2 groups ( P >0.05). Conclusion The self modified CISH has fewer complications, less blood loss and shorter operating time. In our opinion, MCISH is an optimal treatment for benign uterine diseases, especially with cervical lesions.

作者梁志清陈勇李玉艳徐惠成史常旭

机构地区第三军医大学附属西南医院妇产科

出处《第三军医大学学报》 CAS CSCD 北大核心 2001年第12期1474-1475,共2页 Journal of Third Military Medical University

关键词腹腔镜筋膜内子宫切除术 laparoscopy modified classic intrafascial supracervical hysterectomy

分类号 R713.42 [医药卫生—妇产科学]

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