【摘要】 目的探讨腹腔镜辅助阴式子宫全切除(LAVH)的临床应用价值。方法回顾性分析因各种良性妇科疾病需行子宫全切除78例患者全部采用LAVH手术。结果77例行LAVH,1例中转开腹,63例行LAVH,其余行LAVH+卵巢囊肿剔除或单侧附件切除术。手术时间55～151min,平均80min。术中出血80～500mL,平均130mL。平均住院天数5.8d。结论LAVH手术对病人损伤小、恢复快、安全性大,扩大了阴式子宫全切的指征,降低了阴式手术的难度,适当的病例中可取代经腹手术。更多还原

【Abstract】 Objective To inquire into the clinical value of laparoscopically assisted vaginal hysterectomy(LAVH).Methods To analyze 78 cases whose uterus should be removed because of different kinds of benign gynecological diseases.Results Among 78 cases,77 cases LAVH,1 case laparotomy,63 cases LAVH,the rest cases LAVH+and laparoscopic ovarian cyst surgery or laparoscopic unilateral appendix surgery.Surgery time:55～151 mins,at an average of 80 mins.during the course patient bleeds 80～500 mL,at an average of 130 mL.Each stays in hospital of 5.8 days.Conclusion The LAVH is an effective and the first procedure in treating uterus disease.It has is special advantage:slight damage to the patient,quick convalescence,high safety coefficence.It can enlarge the indicator of transvaginal hysterectomy and lower the difficulty of transvaginal surgery.It can replace laparotomy hysterectomy in some suitable cases.更多还原