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目的探讨改良腹腔镜全子宫切除术的手术方法和临床效果。方法回顾性分析2011年2月至2011年8月半年间进行改良腹腔镜全子宫切除术(子宫血管缝扎、阴道残端悬吊)120例患者的临床资料及随访结果。结果所有手术均在腹腔镜下完成,无1例中转开腹,中位手术时间46min,术中中位出血量35ml,术后4～5d出院。有1例出现术后阴道少量流血,应用止血药物后血止;1例术后感染,加强抗感染治疗后痊愈。结论改良腹腔镜全子宫切除术经济、安全、可靠,具有手术时间短、术中出血少、患者恢复快、并发症少等优点。
Objective To investigate the surgical method and clinical effect of modified laparoscopic hysterectomy. Methods The clinical data and follow-up results of 120 patients underwent modified laparoscopic hysterectomy (uterine vascular suture and vaginal stump suspension) were retrospectively analyzed from February 2011 to August 2011. Results All the operations were performed under laparoscopy. None of the patients underwent laparoscopic surgery. The median operative time was 46 minutes and the median intraoperative blood loss was 35ml. The patients were discharged from 4 to 5 days after operation. One case showed a small amount of postoperative vaginal bleeding, bleeding after application of hemostatic drugs; 1 case of postoperative infection, strengthen the anti-infective treatment cured. Conclusion Improved laparoscopic hysterectomy is economical, safe and reliable. It has the advantages of short operative time, less intraoperative bleeding, faster recovery of patients and fewer complications.