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目的探讨腹腔镜下大子宫(子宫体积>12孕周)切除术的手术技巧、安全性、可行性。方法回顾性分析2010年3月至2013年6月郑州市妇幼保健院168例子宫体积12~20孕周有手术适应证行腹腔镜子宫全切术患者的临床资料。结果 168例均在腹腔镜下顺利完成手术,无一例出现严重并发症,其中2例术中出现轻度皮下气肿,给予观察,1例术后出现阴道残端感染,抗感染治疗后痊愈出院。结论选择合适的病例,具有熟练的镜下操作技术及手术技巧,腹腔镜下大子宫切除术是安全、可行的,不增加手术风险及并发症。
Objective To investigate the surgical technique, safety and feasibility of laparoscopic surgery for large uterus (uterine volume> 12 gestational weeks). Methods From March 2010 to June 2013, the clinical data of 168 cases with uterus volume of 12-20 gestational weeks who had operation indications in laparoscopic hysterectomy in Zhengzhou Maternal and Child Health Hospital were retrospectively analyzed. Results 168 cases were successfully completed laparoscopic surgery, and no serious complications occurred, including 2 cases of mild subcutaneous emphysema surgery, given for observation, 1 case of postoperative vaginal stump infection, anti-infective therapy cured . Conclusion Select the appropriate cases, with a skilled operating technique and surgical techniques, laparoscopic hysterectomy is safe and feasible, does not increase the surgical risk and complications.