腹腔镜辅助阴式全子宫切除术29例分析

Analysis of 29 cases of laparoscopic assisted vaginal hysterectomy

目的 :探讨阴式全子宫切除术及效果。方法 :对 2 9例子宫良性病变在腹腔镜辅助下行阴式全子宫切除术进行回顾性分析。结果 :子宫肌瘤 2 1例 ,子宫腺肌症 8例 ,两种疾病同时存在 5例 ;合并有卵巢囊肿 4例 ;盆腔粘连 4例 ,子宫体积 >12周 3例 ,≤ 12周 2 6例。手术成功率达 10 0 %。术中术后无 1例发生并发症。结论 :腹腔镜辅助阴式子宫全切术治疗子宫良性病变 ,具有手术时间短 ,术中出血少 ,术后肠功能恢复快 ,住院时间短等优点 。

Objective To investigate the effect of laparoscopic assisted vaginal hysterectomy.Methods Twenty nine patients with benign disease of uterus were performed laparoscopic assisted vaginal hysterectomy and retrospective analyses were studied.Results There were 21 myoma of uterus,8 adenomyosis,5 with myoma and adenomyosis,4 concurrent with ovarian cyst,4 pelvic adhesion.Among them,3 cases were with uterine size>12 weeks gestation,and 26 cases with uterine size ≤12 weeks gestation.The successful rate was 100%.There was no complication before and after operation.Conclusion With shorter operation time,less intraoperative blood loss,reduced recovery time of intestinal function and shorter hospitalization,laparoscopic assisted vaginal hysterectomy can effectively improve the successful rate of vaginal hysterectomy and increase the indication of vaginal hysterectomy. [