子宫切除途径的选择

The Selection of Hysterectomy Approaches

子宫切除途径的选择多样,目前采用的术式包括经腹全子宫切除术、经腹次全子宫切除术、经腹筋膜内子宫切除术、经阴道全子宫切除术、改良式经阴道全子宫切除术、改良盆底加固经阴道全子宫切除术、经腹腔镜辅助阴式全子宫切除术、经腹腔镜下筋膜内子宫切除术和经腹腔镜下全子宫切除术。但每种术式都存在其优缺点。现对近来的文献作一综述,从而为选择最恰当的术式提供参考。

Hysterectomy can be successfully conducted by a number of approaches,currently including total abdominal hysterectomy,subtotal abdominal hysterectomy,abdominal fascial hysterectomy,total vaginal hysterectomy,modified total vaginal hysterectomy,modified pelvic floor strengthening total vaginal hysterectomy,laparoscopic assisted vaginal hysterectomy,classic intrafacial SEMM hysterectomy and total laparoscopic hysterectomy.However,every approach has its pros and cons.Here is to review the recent literature to provide some guidelines for choosing the most appropriate operation approach.