[1]邱慧玲﹡ 李玉萍 沙爱国.改良腹腔镜子宫腺肌病巨大子宫切除术14例报道[J].中国微创外科杂志,2014,14(8):758-759.
　Qiu Huiling,Li Yuping,Sha Aiguo..Modified Laparoscopic Hysterectomy for Large Uterus in Woman with Adenomyosis:a Report of 14 Cases[J].Chinese Journal of Minimally Invasive Surgery,2014,14(8):758-759.
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改良腹腔镜子宫腺肌病巨大子宫切除术14例报道()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
14
期数:
2014年8期
页码:
758-759
栏目:
经验交流
出版日期:
2014-08-20

文章信息/Info

Title:
Modified Laparoscopic Hysterectomy for Large Uterus in Woman with Adenomyosis:a Report of 14 Cases
作者:
邱慧玲﹡ 李玉萍 沙爱国
厦门大学附属成功医院妇产科，厦门361003
Author(s):
Qiu Huiling;  Li Yuping;  Sha Aiguo.
Department of Obstetrics and Gynecology, Chenggong Hospital of Xiamen University, Xiamen 361003, China
关键词:
腹腔镜; 子宫腺肌病; 巨大子宫切除术
Keywords:
Laparoscopic hysterectomy; Adenomyosis; Hysterectomy for large uterus
分类号:
R713.4+2
文献标志码:
B
摘要:
目的探讨腹腔镜子宫切除术治疗大于12孕周子宫腺肌病的手术技巧和安全性。方法2012年12月~2013年12月，对14例12~18孕周的子宫腺肌病行腹腔镜子宫切除术，对子宫血管的处理和子宫离断方式等步骤进行改良。结果14例均在腹腔镜下完成子宫切除术，无中转开腹，无并发症发生。手术时间（160.7±66.1）min，术中出血量（184.3±50.5）ml。结论改良手术步骤后行腹腔镜子宫腺肌病巨大子宫切除术是安全的。
Abstract:
ObjectiveTo investigate surgical skills and safety of laparoscopic hysterectomy procedure for enlarged uterus in woman with adenomyosis. MethodsFourteen cases of adenomyosis with uterus larger than twelveweek pregnancy accepted laparoscopic hysterectomy form December 2012 to December 2013 in our hospital. Some operating techniques, including the management of uterine vessels and separation of cardinal ligament and uterosacral ligament, were modified.ResultsThe operation was performed successfully under laparoscopy in all the cases. No conversion to open surgery was required. No operating complication happened. The operating time was (160.7±66.1) min, and the intraoperative blood loss was (184.3±50.5) ml. ConclusionModified laparoscopic techniques should be considered as an acceptable alternative in hysterectomy for the management of large uterus in woman with adenomyosis.

参考文献/References:

[1]中华医学会妇产科学分会妇科内镜学组.妇科腹腔镜诊治规范.中华妇产科杂志，2012，47（9）：716-718.
[2]Felix W，Eric L，应小燕.通过腹腔镜子宫切除术和改良小切口经腹子宫切除术切除巨大子宫的回顾性分析——子宫切除术手术途径的再评价.中国微创外科杂志，2011，11（4）：289-294.
[3]周应芳.全面认识子宫腺肌病.中华妇产科杂志，2013，48(4): 291-294.
[4]李光仪，主编.实用妇科腹腔镜手术学.北京：人民卫生出版社，2006.279-289.
[5]Uccella S，Cromi A，Boqani G，et al.Systematic implementation of laparoscopic hysterectomy independent of uterus size: clinical effect.J Minim Invasive Gynecol，2013，20(4):505-516.
[6]吴倩，王宏宾，王鹏.腹腔镜子宫切除术持镜及举宫技巧.腹腔镜外科杂志，2012，17（2）：89-96.

备注/Memo

备注/Memo:
基金项目：厦门市重大科技平台项目（3502Z20111006）﹡通讯作者，Email：13906056198@139.com
更新日期/Last Update: 2015-06-04