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目的探讨应用腹腔镜辅助下扩大阴式子宫切除术的适应症及减少并发症。方法分析我院自2002年7月以来行腹腔镜辅助阴式子宫切除术85例的临床资料。结果子宫肌瘤64例,子宫腺肌症10例,功血3例,绝经期卵巢囊肿8例。子宫肌瘤合并膀胱膨出4例,子宫肌瘤合并子宫腺肌症4例。盆腔粘连14例。子宫体积≥12周的6例,<12周的79例。术后严重并发症1例,左侧输尿管损伤。结论在腹腔镜辅助下,扩大了阴式子宫切除术的适应症,具有显著的优点,值得推广。
Objective To explore the application of laparoscopic augmentation vaginal hysterectomy indications and reduce complications. Methods The clinical data of 85 cases of laparoscopic assisted vaginal hysterectomy in our hospital since July 2002 were analyzed. Results 64 cases of uterine fibroids, adenomyosis in 10 cases, 3 cases of dysfunctional uterine bleeding, 8 cases of menopausal ovarian cysts. 4 cases of uterine fibroids with cystocele, uterine fibroids with adenomyosis in 4 cases. Pelvic adhesions in 14 cases. 6 cases of uterine volume ≥12 weeks, 79 cases of <12 weeks. One case of serious postoperative complications, left ureteral injury. Conclusion With the help of laparoscope, the indication of vaginal hysterectomy is enlarged, which has significant advantages and is worth popularizing.