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腹腔镜子宫肌瘤剔除过程-子宫肌瘤的原因_子宫肌瘤的治疗方法_子宫肌瘤的症状_超声消融_99子宫网
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腹腔镜子宫肌瘤剔除过程

作者:管理员        来源:99子宫网        发布日期:2010-11-23        访问量:5688
导读:很多患者很希望能了解到腹腔镜子宫肌瘤剔除过程,但是询问做过腹腔镜子宫肌瘤剔除的病人,答案却是:我被麻醉了,一觉醒来,手术已经结束了。为此,我们特意整理了这篇文章,帮助大家了解腹腔镜子宫肌瘤剔除术的手术过程。

       腹腔镜检查已有90多年的历史,但早期腹腔镜检查都是用膀胱镜进行,1910年就有了专门的腹腔镜。直到70年代,腹腔镜技术才有了较大的发展。
       腹腔镜下子宫肌瘤剔除术是指在肚子上面打三个孔。一个在肚脐缘下lcm处打第一个孔,左下腹部或右下腹部切第二、第三个小口。孔的大小需要根据子宫肌瘤大小确定。通过脐下的孔往腹部充入CO2气体,造成人工气腹以便于操作,再放入腹腔镜摄影头,即可从电视屏幕上看到盆腔、腹腔的情况;另两个孔一个是手术操作用的,通过这个孔可以把手术器械送入腹腔操作;另一个可以导入光源。
       患者麻醉成功后取截石位,常规消毒铺巾,取脐部1厘米切口置入套管,气腹后,置入镜头,于脐孔左下方、左下腹、右下腹分别取长1厘米,0.5厘米,0.5厘米各一切口,置入套管及器械,头低脚高位,排开肠管。
       经阴道由宫颈口插入举宫器一直深达宫底并固定。12单位垂体后叶素稀释后注入宫体,电钩划开子宫肌瘤包膜,钝性拨开包膜暴露瘤体,电凝根部并切下瘤体。粉碎后取出,经家属过目后送检。
       可吸收缝线缝合根部后再连续缝合子宫浆膜层和肌层。彻底止血,冲洗并吸尽冲洗液,清点器械无误后取出器械,镜头,套管,缝合切口,再次清点无误后,手术结束。

       99子宫网医生语:
       对腹腔镜形象比喻就像咱们的眼睛延长,咱们的眼睛通过腹壁就进到腹腔里了,把我们的器械,我们的手延长了,手不进去,它一个很长的器械大约有40公分左右,或是有30公分左右的器械,就进到盆腹腔去了,然后就可以把这个子宫肌瘤挖出来了。腹腔镜的使用减少了手术对腹部皮肤的损伤,也在一定程度上减少了感染和术后盆腔粘连的比率。但是腹腔镜技术对于医生的水平也是一大考验,在有的情况下腹腔镜治疗失败时需要手术及时转为开腹甚至需要切除子宫。
 

        99子宫网小编推荐阅读:

         腹腔镜治疗的适应症

         腹腔镜手术注意事项

         带环怀孕是谁制造的意外?

       “90后”越来越疯狂了,将自己产下的婴儿摔死(图)

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