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采用腹腔镜辅助下子宫切除术治疗妇科良、恶性疾病的报道日渐增多。以此技术在全麻下施术54例,对其实用性、安全性及其优点进行了重点分析。54例患者平均年龄47.2岁。手术指征包括月经过多,痛经,子宫颈上皮内瘤样病变,子宫肌瘤,子宫脱垂,内膜异位症及附件肿物等。 患者取膀胱截石位,CO_2造人工气腹,于脐下插入10mm套管针,置入带摄像头的腹腔镜,另于下腹置6mm、左右侧腹分别置12mm套管针插入剪、钳、温热凝器、缝合器等器械。若需切除附件,
Laparoscopic assisted hysterectomy for the treatment of benign and malignant gynecological diseases reported increasing. Using this technique in 54 cases under general anesthesia, its practicality, safety and its advantages were analyzed. The average age of 54 patients was 47.2 years. Surgical indications include menorrhagia, dysmenorrhea, cervical intraepithelial neoplasia, uterine fibroids, uterine prolapse, endometriosis and other accessories and other tumors. Patients with bladder lithotomy position, CO_2 artificial pneumoperitoneum, inserted under the umbilical 10mm trocar, into the laparoscopic camera, and the other in the lower abdomen set 6mm, left and right flaps were placed 12mm trocar insertion shear, pliers, Warm fuser, stitches and other equipment. If you need to remove the attachment,