CAJ | 학술논문

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。
목적：탐토복강경하대자궁（자궁체적>12잉주）절제술적수술기교、안전성、가행성。방법회고성분석2010년3월지2013년6월정주시부유보건원168례자궁체적12~20잉주유수술괄응증행복강경자궁전절술환자적림상자료。결과168례균재복강경하순리완성수술，무일례출현엄중병발증，기중2례술중출현경도피하기종，급여관찰，1례술후출현음도잔단감염，항감염치료후전유출원。결론선택합괄적병례，구유숙련적경하조작기술급수술기교，복강경하대자궁절제술시안전、가행적，불증가수술풍험급병발증。
Objective To eXplore the operative technique,security and feasibility of hysterectomy of enlarged uterus under laparoscopy. Methods The clinical data of 168 patients With surgical indications of 12 ~20 gestational WeeKs uterine volume Were conducted total laparoscopic hysterectomy from March 2010 to June 2013 in Zhengzhou Maternal and Child Health Hospital Were retrospectively analyzed. Results All the operations Were completed successfully,no one appeared severe complications,2 cases appeared mild subcutaneous emphysema,1 case appeared vaginal stump infection Which recovered after anti- infection treatment. Conclusion With right case choosing,sKilled laparoscopy operation technology and operation sKills,laparoscopic hysterectomy of enlarged uterus is safe and feasible.