摘要
目的 :探讨腹腔镜下子宫体三角形切除术的可行性及价值。方法 :采用腹腔镜下子宫体三角形切除治疗子宫良性疾病共 18例 ,其中子宫肌瘤 11例 ,子宫腺肌瘤 6例 ,围绝经期功能失调性子宫出血药物治疗无效 1例。所有患者手术前均排除子宫内膜及宫颈恶性疾病。结果 :18例患者手术均在腹腔镜下完成 ,平均手术时间为 176± 4 2 .5 0分钟 (130～ 2 2 0分钟 ) ,平均失血量为 16 0 .3± 18.5 5ml (110～ 2 2 0ml) ,手术后平均住院时间 4 .30± 1.2 0天 (3～ 6天 )。随诊 12～ 2 4个月 ,18例患者症状均完全缓解 ,B超提示子宫形态较正常子宫略小。无一例手术并发症 ,3例手术后出现发热。结论 :采用腹腔镜下子宫体三角形切除术治疗子宫肌瘤或腺肌瘤临床效果满意 ,且保留了子宫形态 。
Objective: To investigate the possibility and value of laparoscopic triangle hysterectomy. Methods: 18 patients with uterine benign disease were treated by laparoscopic triangle hysterectomy. Of the18 cases, 11 were suffering from myoma, 6 adenomyoma, and 1 menopausal dysfunctional uterine bleeding. Possibility of cervix and endometrium cancer was evaluated preoperatively in all patients. Results: All the laparoscopic procedures of 18 patients were successfully performed. Average operating time was 176±42.50 min(130～220min)and average blood loss was 160.3±18.55ml (110～220 ml). Mean postoperative hospital stay was 4.30±1.20 (3～6) days. The patients were followed up for 12～24 months. Symptomatic improvement was achieved in all patients. Main postop erative complications were moderate pyrexia in 3 patients. Sonographic evaluation of the uterus showed that the reconstructed uterus was a little smaller than normal. Conclusions: Laparoscopic triangle hysterectomy should be a feasible, effective, and relatively safe method for treating uterus fibroids and adenomyoma, and could reserve uterine shape, and keep structural integrity of pelvic fundus.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2005年第1期45-47,共3页
Journal of Practical Obstetrics and Gynecology
