腹腔镜辅助经阴式子宫切除术149例分析

The clinical analysis of laparoscopically assisted vaginal hysterectomy.

目的 为提高经阴式子宫全切除术的效果。方法 从2000年1月起 ,对妇科良性疾病需行全子宫切除的149例病人 ,采用腹腔镜辅助经阴式子宫切除术。 结果 147例成功开展了腹腔镜辅助经阴式子宫切除术 ,成功率达到98.6 %。如果按照传统的TVH适应症 ,149例中只有33例适合TVH ,只占22.1 %。结论 辅以腹腔镜后可以有效提高TVH的成功 ,且尚有其它显著的优点。

Objectives To investigate the clinical effect of laparoscopically assisted Through vaginal hysterectomy. Methods 149 patients with gynecologial benign tumor underwent LAVH (laparoscopically assisted vaginal hysterectomy).Results 147 patients of them are operated successly by LAVH. Rate of success is 98.6%. If we choose the patients according to traditional ideas,there were only 33 ( 22.1%)patients who can underwent TVH. Conclusion After using laparoscope, the rate of success of TVH can be raised, and there are some merid else.