腹腔镜筋膜内子宫切除术36例分析

首都医科大学学报 ›› 2004, Vol. 25 ›› Issue (3): 391-393.

腹腔镜筋膜内子宫切除术36例分析

文巧英¹, 韩丹¹, 李斌²

1. 首都医科大学附属北京北天坛医院妇产科;2. 首都医科大学附属北京安贞医院妇产科

收稿日期:2003-08-19 修回日期:1900-01-01 出版日期:2004-07-15 发布日期:2004-07-15

Analysis of 36 Cases with Classic Intrafacial SEMM Hysterectomy

Wen Qiaoying¹, Han Dan¹, Li Bing²

1. Department of Obstetrics and Gynecology, Beijing Tiantan Hospital, Affiliate of Capital University of Medical Sciences;2. Department of Obstetrics and Gynecology, Beijing Anzhen Hospital, Affiliate of Capital University of Medical Sciences

Received:2003-08-19 Revised:1900-01-01 Online:2004-07-15 Published:2004-07-15

摘要/Abstract

摘要： 为进一步探讨腹腔镜筋膜内子宫切除术(CISH)的适应证、手术要点及临床应用价值,2001年3月至2002年7月,对36例因各种妇科良性疾病而需行子宫切除、保留宫颈的患者,术中根据Kovac评分[1],决定是否采用CISH术式.观察手术时间、平均出血量及术后恢复情况.结果:36例行CISH的患者中,成功35例(97.2%),1例因Kovac评分高而转开腹手术,中转率2.78%,平均手术时间103min(70～270min),出血量约50～150mL,平均住院日6d.提示:CISH具有创伤小、出血少、恢复快等优点,在切除病灶的同时最大限度地保持了盆底、阴道和宫颈外鞘的完整性,有利于防止子宫颈残端癌的发生.

关键词: 腹腔镜, 子宫切除术, 子宫肌瘤

Abstract: The aim was to evaluate the indications, procedure and clinical value of classic intrafacial SEMM hysterectomy(CISH).Thirty-six women with benign gynecological disorders which needed uterine resection but remained cervix between March 2001 and July 2002 were assigned to a route of CISH on the basis of uterine size and score in operation.Operation time, blood loss, associated procedures, hospital stay and postoperative recovery were observed.CISH was successful in 97.2%(35/36) of women assigned to these groups.Transabdominal operation was performed in only 1 of 36 patients(2.78%).The average operating time was 103 min; Blood loss (50～150 mL) was lower than during conventional abdominal hysterectomy.The average hospital stay was 6 days.There were no complications found in all patients.The advantages of CISH are its minimum possibility of injury, reduced blood loss and a fast recovery period.Integrity of pelvic floor, vagina and cervix are maintained as far as possible with focus removal, thus preventing the subsequent development of cervix stump carcinoma.Therefore, CISH may be an optimal technique for benign uterine disease.

Key words: laparoscopy, intrafacial hysterectomy, uterine fibroids

中图分类号:

R713.4⁺2

文巧英;韩丹;李斌. 腹腔镜筋膜内子宫切除术36例分析[J]. 首都医科大学学报, 2004, 25(3): 391-393.

Wen Qiaoying;Han Dan;Li Bing. Analysis of 36 Cases with Classic Intrafacial SEMM Hysterectomy[J]. Journal of Capital Medical University, 2004, 25(3): 391-393.

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