【摘要】 目的探讨腹腔镜辅助阴式全子宫切除术的效果、手术要点。方法对51例子宫肌瘤、子宫腺肌瘤、子宫脱垂Ⅱ度~Ⅲ度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51例手术均成功,无1例中转开腹,无严重并发症,成功率100%。平均手术时间(117.3±29.7)min,术中平均出血(100.2±22.1)ml,术后平均住院日(4.7±0.1)d。结论腹腔镜辅助阴式全子宫切除术创伤小、肠道干扰少、恢复快。手术成功与子宫大小、形状、活动度、阴道的容量及术者的经验和技术有关。更多还原

【Abstract】 Objective To investigate the effects and techniques of laparoscopic assisted transvaginal hysterectomy(LAVH).Methods LAVH to 51 cases with hysteromyoam,uterine adenomyoma and uterine prolapes grade Ⅱ～Ⅲ,which were all i ndications for uterus resection.Results LAVH was performed successfully in 5 1cases.NO conversion to open surgery was re quired.No complication occurred,the achievement ratio being 100%.The average operating time was(117.3±29.7) min.The average amount of intraoperative blood loss was(100.2±22.1) ml.the average time of postoperative hospital stay was(4.7±0.1) days.Conclusions LAVH was associated with mildtrauma,slight intest inaldisturbance,and quick recovery.Whether or not an operation of successful is related to the size,shape and mobility of the uter us,vaginal space,and operator’s skills and enperience.更多还原