腹腔镜全子宫切除术术后远期并发症临床分析.doc.doc

腹腔镜下全子宫切除术术后远期并发症临床分析
(443000)湖北省宜昌市第二人民医院妇科曹瑞芳1 廖艳丹罗洁
【摘要】目的总结非脱垂子宫妇科腹腔镜下全子宫切除术术后远期并发症发生情况并比较术中经腹腔镜处理阴道残端和经阴道处理阴道残端两种术式术后远期并发症发生情况及相关因素。方法回访调查2006年5月至2012年5月间,320例非脱垂子宫妇科腹腔镜下全子宫切除术手术患者的调查资料以及并发症的相关情况。包括腹腔镜全子宫切除术经腹腔镜处理阴道残端164例, 经阴道处理残端全子宫切除术156例。结果两种术式全子宫切除术发生的远期并发症主要有无性生活、生殖道感染、阴道残端息肉、阴道残端脱垂等,%、%、%、%。腹腔镜下全子宫切除术术中经腹腔镜处理残端和经阴道处理残端术后远期并发症比较,无性生活发生率、生殖道感染发生率两种术式无明显差别,只有阴道残端息肉和阴道残端脱垂发生率两种术式比较有显著性统计学意义(X2 =,P<;X2 =,P<)。结论妇科腹腔镜下全子宫切除术两种处理阴道残端术式术后的远期主要并发症发生率高低与对阴道残端处理方式密切相关,严格掌握手术适应症,提高手术医师的操作技能,规范手术操作,是降低远期并发症发生率的关键。
【关键词】腹腔镜下全子宫切除术经腹腔镜处理阴道残端经阴道处理残端术后远期并发症
Laparoscopic hysterectomy clinical analysis of long-term plications
Cao Ruifang Liao Yandan Luo Jie
Yichang Second People's Hospital of Hubei Province Department of gynecology and obstetrics 443000,china
[Abstract]Objective: to summary the occurrence of long-term plications in non-prolapsed uterus gynecological laparoscopic hysterectomy and pare long-term plications occurrence and related factors of two surgical treatment of vaginal stump between by laparoscopic surgery and by vaginal hysterectomy. Methods:a return visit survey from May 2006 to May 2012, 320 patients with non-prolapsed uterus gynecological laparoscopic uterine hysterectomy survey data as well plications . Including laparoscopic hysterectomy through laparoscopic the stump 164 cases,156 cases of stump treated with v