腹腔镜辅助下阴式子宫切除术治疗子宫良恶性病变120例的临床分析

Clinical analysis on curative effects of laparoscopic assisted vaginal hysterectomy on treating uterus benign and malignant lesions in 120 cases

目的 探讨腹腔镜辅助下阴式子宫切除术治疗子宫良恶性病变的疗效。方法 对该院2011年4月-2013年2月收治的子宫良恶性病变患者120例,采用腹腔镜辅助下阴式子宫切除术式治疗,并对患者进行随访。结果 120例患者手术均获成功、术中定位准确、无中转开腹。手术时间70～160 min,平均（120±10）min。患者术后宫腔镜随访12个月,未见病灶复发,术前症状消失。结论 腹腔镜辅助下阴式子宫切除术对子宫良恶性病变部位定位准确,同时具有创伤小、手术时间短、术后恢复快、住院时间短及并发症少等优点,值得临床推广。

[ Objective ] To analyze the effects of laparoscopic assisted vaginal hysterectomy on treating uterus benign and malignant lesions. [ Methods ] 120 patients with uterus benign and malignant lesions in our hospital from April 2011 to February 2013 were performed the laparoscopic assisted vaginal hysterectomy invasive resection operation. The patient who accepted laparoscopic assisted vaginal hysterectomy were followed up. [Results] 120 cases were successfully performed operation with accurate intra-operative localization and without conversion to open surgery.The operation time was 70-160 min, average （120＋10） min. The patients were followed up with hysteroscope for one year. No lesions recurred and preoperative symptoms disappeared. [ Conclusion ] Laparoscopic assisted vaginal hysterectomy can accurately determine the location of uterus benign and malignant lesions, at the same time it has the advantages of little trauma, short operation time,faster postoperative recovery, short hospital stay and less complications, which deserves to be spread in clinic.