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回顾分析1994~1996年腹腔镜子宫切除术34例的手术效果及并发症情况,探讨腹腔镜手术的适应症及并发症的防治。结果显示手术平均时问为142min,平均术中出血量为407ml,术后住院2~5天者占79.4%。并发症发生率21.7%(7/34),包括小腿烧伤、轻度脑栓塞各1例,腹壁血肿、术后发热各2例,1例腹腔内出血再次开腹。术后6周随诊均无异常发现。作者认为,腹腔镜子宫切除术具有切口小、恢复快、住院时间短等优点,但要注意掌握手术适应征,并强调手术队伍的整体配合。
Retrospective analysis of 1994-1996 laparoscopic hysterectomy in 34 cases of surgical results and complications, to explore the indications for laparoscopic surgery and complications prevention and treatment. The results showed that the average time for surgery was 142min, the average blood loss was 407ml, postoperative hospital stay of 2 to 5 days accounted for 79.4%. Complication rate was 21.7% (7/34), including 1 case of calf burns, 1 case of mild cerebral embolism, 2 cases of abdominal hematoma, 2 cases of postoperative fever and 1 case of intra-abdominal hemorrhage. After 6 weeks follow-up no abnormal findings. The authors believe that laparoscopic hysterectomy has the advantages of small incision, rapid recovery, shorter hospital stay, but pay attention to grasp the indications for surgery, and emphasize the overall team with the surgery.