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目的探讨腹腔镜辅助阴式子宫切除术的临床体会。方法选择我院2014年7月至2015年7月40例因子宫或宫颈良性病变需行子宫切除术的子宫小于孕3个月患者,进行回顾性分析,随机分为两组,行腹腔镜辅助下阴式子宫切除术20例为观察组,行单纯阴式子宫切除术20例为对照组,比较两组手术时间、术中出血、术中和术后副损伤情况、术后排气时间。结果观察组在手术时间、术中出血量、术后排气时间和术中副损伤发生率等方面均优于对照组。结论经腹腔镜辅助阴式子宫切除术优于单纯阴式子宫切除术,并更适合盆腔有粘连或盆腔脏器走行异常或解剖关系有异常的患者。
Objective To explore the clinical experience of laparoscopic assisted vaginal hysterectomy. Methods From July 2014 to July 2015, 40 cases of uterus less than 3 months pregnant women who underwent hysterectomy for our hospital from July 2014 to July 2015 were retrospectively analyzed. They were randomly divided into two groups, assisted by laparoscopy Under vaginal hysterectomy in 20 cases as observation group, simple vaginal hysterectomy in 20 cases as control group, compared the operation time, intraoperative bleeding, intraoperative and postoperative injury, postoperative exhaust time. Results The observation group was better than the control group in operation time, intraoperative blood loss, postoperative exhaust time and the incidence of intraoperative side injury. Conclusion Laparoscopic assisted vaginal hysterectomy is better than simple vaginal hysterectomy, and is more suitable for patients with pelvic adhesions or abnormalities in pelvic organs or abnormal anatomy.