腹腔镜辅助阴式全子宫切除术89例临床观察

Clinical Observation of Laparoscopic Assisted Vaginal Hysterectomy 89 Cases

目的探讨腹腔镜辅助阴式全子宫切除术的临床效果。方法对患有功能失调性子宫出血、子宫腺肌瘤、子宫内膜异位、子宫肌瘤的较大子宫(12孕周<子宫<16孕周)等有子宫切除指征的患者行腹腔镜辅助阴式全子宫切除术。结果由于粘连严重中转开腹1例,成功88例,手术成功率98.9%,平均术中出血126mL,平均手术时间87min,术后住院5～7d。结论腹腔镜辅助阴式全子宫切除术出血少、创伤小、住院时间短、恢复快。

Objective Lparoscopic assisted vaginal hysterectomy clinical effects. Method With dysfunctional uterine bleeding, uterine adenomyoma, endometriosis, uterine fibroids larger uterus （12 weeks of gestation 〈uterus 〈16 weeks gestation） and other indications for hysterectomy in patients with laparoscopic assisted vaginal hysterectomy. Results Laparotomy because of severe adhesion in 1 case, the success of 88 cases, surgical success rate of 98.9%, average blood loss was 126mL, mean operative time was 87min, postoperative hospital stay was 5-7d. Conclusions Laparoscopic-assisted vaginal hysterectomy, less bleeding, less trauma, shorter hospital stay and faster recovery.