子宫动脉结扎、阴道残端悬吊腹腔镜改良子宫切除术的临床研究

摘要

Objective: To evaluate the clinical effects of modified laparoseopic hysterectomy with ligation of uterine artery and suspension of vaginal stump. Methods:The clinical data of 50 patients who underwent modified laparoscopic hysterectomy from Jan. tornAug. 2011, during which the uterine artery was ligated and the vaginal stump was suspended, was collected and analyzed retrospectively.rnResults: All the 50 operations were completed successfully and there was no conversion to open surgeries. All the vital signs were stable during the operation. The operations lasted about 55-80 min. The amount of blood loss was about 30-70 ml. The postoperative pain was less and recovery of gastrointestinal function was more rapid ( exhaust time ? 24 h). The urinary catheters were pulled out 2 days after operation and patients were discharged 5 days after operation. The patients were permitted to have sexual life 2 months after operation. In the following 3 months and 6 months, no complications occurred and the short-term quality of their life improved. Conclusions: The modified laparoscopic hysterectomy with ligation of uterine artery and suspension of vaginal stump is safe and feasible. It is of obvious superiority,innovation and worth popularizing.%目的:评价腹腔镜子宫动脉结扎、阴道残端悬吊术在腹腔镜子宫切除术中的应用价值.方法:回顾分析2011年1月至2011年8月行腹腔镜改良子宫切除术的临床资料,术中结扎子宫动脉、悬吊阴道残端.结果:50例手术均获成功,无一例中转开腹.术中患者各项生命体征平稳,手术时间55 ～ 80 min,术中出血量30～ 70 ml,术后疼痛程度轻,胃肠功能恢复快(排气＜24 h),术后2天拔除尿管,5天出院,术后2个月患者恢复性生活.术后第3、6个月随访,无并发症发生,近期生活质量高.结论:腹腔镜子宫切除术中子宫动脉结扎、阴道残端悬吊安全可行,具有明显的优越性、创新性及推广价值.