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目的:探讨腹腔镜全子宫切除术的手术方法及效果。方法:对2008年2月～2011年5月,对腹腔镜下行全子宫切除的52例患者的资料进行回顾性分析。结果:所有患者均于腹腔镜下完成手术,手术时间平均为123±32分钟,出血量为65～310ml;术后住院时间4～14天;术中发生膀胱穿孔1例,经腹腔镜下行缝合修补;术后发生膀胱阴道瘘及输尿管阴道瘘各1例,保守治疗后均治愈。结论:腹腔镜全子宫切除术是一种安全、有效手术方式,手术损伤小、出血少、手术后恢复快,并发症发生率低。
Objective: To explore the method and effect of laparoscopic hysterectomy. Methods: From February 2008 to May 2011, 52 cases of laparoscopic total hysterectomy were retrospectively analyzed. Results: All the patients underwent laparoscopic surgery. The average operation time was 123 ± 32 minutes, the bleeding amount was 65 ~ 310ml, the postoperative hospital stay was 4 ~ 14 days. One case of bladder perforation occurred during operation and was sutured by laparoscopy Repair; vesicovaginal fistula and ureteric fistula occurred in 1 case, after conservative treatment were cured. Conclusions: Laparoscopic hysterectomy is a safe and effective surgical method. It has less operation injury, less bleeding, faster recovery after operation, and lower complication rate.