CAJ | 학술논문

目的观察腹腔镜筋膜内子宫切除术的临床效果.方法对46例行腹腔镜筋膜内子宫切除术患者的术中情况及术后并发症等进行回顾性总结.结果 46例均顺利完成腹腔镜筋膜内子宫切除术,术中无肠管、膀胱、输尿管损伤等严重并发症发生.近期并发症4例,其中盆腔血肿1例,盆腔感染1例,宫颈管残腔积血2例；远期并发症5例,其中宫颈管残腔周期性出血2例,宫颈腺囊肿、盆腔包裹性积液、宫颈管息肉样增生各1例.结论腹腔镜筋膜内子宫切除术术中并发症少,但术后并发症发生率高,因此手术方法有待改进.
목적 관찰복강경근막내자궁절제술적림상효과.방법 대46례행복강경근막내자궁절제술환자적술중정황급술후병발증등진행회고성총결.결과 46례균순리완성복강경근막내자궁절제술,술중무장관、방광、수뇨관손상등엄중병발증발생.근기병발증4례,기중분강혈종1례,분강감염1례,궁경관잔강적혈2례；원기병발증5례,기중궁경관잔강주기성출혈2례,궁경선낭종、분강포과성적액、궁경관식육양증생각1례.결론 복강경근막내자궁절제술술중병발증소,단술후병발증발생솔고,인차수술방법유대개진.
Objective To observe the clinical effect of laparoscopic intrafascial supracervical hysterectomy.Methods The complications during and after the operation of laparoscopic intrafascial supracervical hysterectomy of 46 patients were reviewed and summarized retrospectively. Results Laparoscopic intrafascial supracervical hysterectomy of 46 cases had been done well without significant complications,such as injury of intestine,bladder and ureter.Four cases had complications in short term,one was pelvic hematoma,one was pelvic infection,and two were hematocele in cervical canal.There were five cases had complications in long term.Residual cavity periodic hemorrhage in two cases,cervical gland cyst,pelvic parcel effusion and cervical polypoid hyperplasia each in one case.Conclusions There are less complications during the laparoscopic intrafascial supracervical hysterectomy,while much more after the surgery.Therefore,the surgical method needs to be improved.