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目的评估在腹腔镜辅助下的阴式子宫全切术的临床效果。方法对58例患者施行腹腔镜辅助下阴式子宫全切术。其中子宫肌瘤22例,子宫脱垂25例,子宫腺肌病11例。结果 58例患者均在腹腔镜辅助下成功完成手术,平均手术时间152 min,术中平均出血150 ml,术后肛门排气时间为2.5 d,恢复自主排尿时间平均为3 d。无膀胱、输尿管及直肠损伤,无阴道壁血肿及术后感染,无阴道残端愈合不良等并发症。结论腹腔镜辅助阴式子宫切除术具有创伤小、并发症少、后恢复快、可探查和治疗盆腔并存病变的优点,是子宫切除的一种理想方法。
Objective To evaluate the clinical effect of vaginal hysterectomy assisted by laparoscopy. Methods 58 patients underwent laparoscopic assisted vaginal hysterectomy. Including uterine fibroids in 22 cases, 25 cases of uterine prolapse, 11 cases of adenomyosis. Results Fifty-eight patients underwent laparoscopic surgery successfully. The average operation time was 152 minutes. The mean intraoperative blood loss was 150 ml. The time of postoperative anal exhaust was 2.5 days. The average time for spontaneous urination was 3 days. No bladder, ureteral and rectal injury, no vaginal wall hematoma and postoperative infection, no vaginal stump healing and other complications. Conclusions Laparoscopic assisted vaginal hysterectomy has the advantages of less trauma, less complications, rapid recovery, and can detect and treat pelvic coexisting lesions. It is an ideal method for hysterectomy.