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腹式子宫次全切除,手术时间一般需1～2h,而子宫全切除需2h至2h30min。笔者从1993年7月以来采用Semm教授腹腔镜子宫切除的方法改良开腹子宫切除132例,报道如下。 1 资料与方法 1.1 对象 1993年7月至1996年12月本院住院子宫切除患者132例。其中30～40岁24例,40～50岁81例,50～60岁21例,60～70岁5例,70岁以上者1例。病种包括多发性子宫肌瘤38例,壁间肌瘤57例,粘膜下子宫肌瘤4例,子宫阔韧带肌瘤5例,子宫腺肌病及卵巢巧克力囊肿18例,功血4例,子宫内膜原位癌3例,卵巢交界性肿瘤3例。其中18例子宫肌瘤合并卵巢上皮性肿瘤及巧克力囊肿,子宫肌瘤最大约孕5月大,多数约孕3月大。
Abdominal uterine subtotal resection, surgery time generally takes 1 ~ 2h, and hysterectomy required 2h to 2h30min. The author from July 1993 has adopted Semm laparoscopic hysterectomy method to improve open abdominal hysterectomy in 132 cases, reported as follows. 1 Materials and Methods 1.1 Object July 1993 to December 1996 in our hospital 132 cases of hospitalized patients with hysterectomy. Among them, 24 cases were 30-40 years old, 81 cases were 40-50 years old, 21 cases were 50-60 years old, 5 cases were 60-70 years old and 1 case was over 70 years old. Disease, including 38 cases of multiple uterine fibroids, 57 cases of intramural fibroids, submucosal uterine fibroids in 4 cases, 5 cases of uterine broad ligament fibroids, adenomyosis and ovarian chocolate cysts in 18 cases, 4 cases of dysfunctional uterine bleeding, Endometrial carcinoma in situ in 3 cases, 3 cases of borderline ovarian cancer. Of which 18 cases of uterine fibroids with epithelial ovarian cancer and chocolate cysts, uterine fibroids about the largest pregnancy in May, mostly about 3 months pregnant.