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目的探讨三种不同方式在腹腔镜下巨大子宫全切术中的临床应用价值。方法回顾性分析126例子宫超过孕12周患者,其中超声刀组75例、超声刀+双极组21例、超声刀+结扎组30例,均行腹腔镜下全子宫切除术。结果所有病例全部在腹腔镜下完成子宫切除,无一例中转开腹,无一例手术并发症发生。手术时间分别为(118±18)、(110±14)、(121±16)m in,术中出血量分别为(232±88)、(149±48)、(160±87)m l,子宫重量分别为(374±102)、(363±51)、(370±58)g。结论腹腔镜下巨大子宫切除术是安全可行的,但必须有良好的手术器械和熟练的镜下操作技巧。
Objective To investigate the clinical value of three different methods in laparoscopic hysterectomy. Methods A retrospective analysis of 126 cases of uterus over 12 weeks pregnant patients, including 75 cases of ultrasound knife group, ultrasound knife + bipolar group of 21 cases, ultrasound knife + ligation group of 30 patients underwent laparoscopic hysterectomy. Results All patients underwent laparoscopic resection of the hysterectomy. None of the patients underwent laparotomy. No operative complications occurred. The operative time was (118 ± 18), (110 ± 14) and (121 ± 16) mins respectively. The blood loss in the operation were (232 ± 88), (149 ± 48) and (160 ± 87) The weights were (374 ± 102), (363 ± 51) and (370 ± 58) g, respectively. Conclusion Laparoscopic hysterectomy is safe and feasible, but must have good surgical instruments and skilled operation skills.