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目的评价腹腔镜辅助下阴式子宫切除的临床效果。方法回顾分析78例患者的临床资料。结果腹式全子宫切除术组顺利完成手术,无术中损伤及并发症发生,阴式子宫全切除术组中转开腹2例,1例因粘连严重,1例因器械原因而中转开腹;腹腔镜辅助下阴式子宫切除术手术均顺利完成,无一例中转开腹手术。结论 LAVH保留了阴式子宫全切除术的优点,又可利用腹腔镜进行一些阴式手术操作难以完成的手术步骤,使阴式子宫切除术变得安全可靠,值得应用。
Objective To evaluate the clinical effect of laparoscopic assisted vaginal hysterectomy. Methods The clinical data of 78 patients were retrospectively analyzed. Results In the complete abdominal hysterectomy group, no operative injury and complications were found. In the vaginal hysterectomy group, 2 cases were converted to laparotomy, 1 case had severe adhesion and 1 case had laparotomy due to equipment. Laparoscopic assisted vaginal hysterectomy surgery were successfully completed, no case of conversion to laparotomy. Conclusion LAVH retains the advantages of vaginal hysterectomy, but also the use of laparoscopy for some vaginal surgery difficult to complete the surgical steps, so that vaginal hysterectomy become safe and reliable, it is worth applying.