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目的:探讨阴式子宫全切术中的腹腔镜辅助意义。方法:2010年1月至2012年8月间,丽水市中心医院妇产科共行阴式子宫全切术125例,其中37例因术中感盆腔粘连或宫体增大阻挡,下拉子宫困难,采用腹腔镜辅助完成。结果:37例手术均未转开腹,术中膀胱损伤1例,术后发生左下腹壁血肿1例。结论:阴式子宫全切术中采用腹腔镜辅助可提高手术安全性,扩大阴式全子宫切除的手术适应症,对于困难子宫切除具有优越性,但术中需分清解剖层次,避免手术损伤发生。
Objective: To explore the significance of laparoscopic assisted vaginal hysterectomy. Methods: Between January 2010 and August 2012, 125 cases of vaginal hysterectomy were performed in the department of obstetrics and gynecology of Lishui Central Hospital, of which 37 cases had difficulty in pulling down the uterus due to intraoperative sensation of pelvic adhesions or enlargement of the uterus , Assisted by laparoscopy. Results: Thirty-seven cases failed to turn to the laparotomy, one case of intraoperative bladder injury and one case of left lower abdominal wall hematoma. Conclusion: Laparoscopic assisted vaginal hysterectomy can improve the safety of surgery and expand the indications of vaginal hysterectomy. It is superior to difficult hysterectomy, but it is necessary to distinguish the anatomical level and avoid the operation injury .