【摘要】 目的探讨腹腔镜辅助阴式全子宫切除术的临床价值。方法对患子宫肌瘤、子宫腺肌症、卵巢肿瘤等具有子宫切除指征的65例患者施行腹腔镜辅助阴式全子宫切除术。结果全组58例手术成功,中转开腹手术7例,成功率为89.2%,平均手术时间108mi(n80￣205min),术中平均出血量140m(L95￣265mL),术后住院时间7￣10d。未出现严重并发症。结论腹腔镜辅助阴式全子宫切除术创伤小,腹腔干扰轻,患者恢复快,值得临床应用、推广。更多还原

【Abstract】 [Objective] To investigate the clinical value of laparoscope assisted transvaginal hysterectomy (LAVH). [Methods] laparoscope-assisted transvaginal hysterectomy was performed in 65 patients with hysteromyoma, uterine adenomyoma and ovarian tumor, which were all indications for uterus resection. [Results] LAVH was performed successfully in 65 cases, and was transferred to laparotomy, the success rate being 89.2% (58/65). The average operating time was 108 min (80~205 min). The average amount of intraoperative blood loss was 140 mL (95~265 mL). The postoperative hospital stay was 7~10 days. No severe complication occurred. [Conclusions] LAVH showed advantages such as slight trauma, mild disturbance to abdominal cavity, and rapid recovery. Consequently, it deserves application and popularization.更多还原