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目的:探讨如何安全灵活运用腹腔镜辅助阴式子宫切除手术方式。方法:回顾性分析2005年4月-2011年5月间75例腹腔镜辅助阴式子宫切除术、56例经阴道子宫切除术患者手术相关情况。结果:两组腹部手术史、手术指征、子宫大小、手术时间差异有极显著意义(P<0.005)。术后随访病例都康复满意。结论:腹腔镜辅助阴式子宫切除术、阴式子宫切除术均为创伤小、恢复快的微创手术,腹腔镜辅助阴式子宫切除术在腹腔镜直视下分解盆腹腔粘连、处理附件、子宫血管,明显扩大了阴式子宫切除手术的适用范围。严格把握适应症,循序渐进规范操作是手术安全成功的关键。
Objective: To explore how to use laparoscopic assisted vaginal hysterectomy safely and flexibly. Methods: The clinical data of 75 cases of laparoscopic assisted vaginal hysterectomy and 56 cases of transvaginal hysterectomy between April 2005 and May 2011 were analyzed retrospectively. Results: There were significant differences between the two groups in the history of abdominal surgery, operation indications, uterine size and operation time (P <0.005). Postoperative follow-up cases were satisfactory. Conclusions: Laparoscopic assisted vaginal hysterectomy and vaginal hysterectomy are minimally invasive and fast-recovery minimally invasive surgery. Laparoscopic-assisted vaginal hysterectomy can decompose abdominal adhesions and treat the appendix, Uterine blood vessels, significantly expanded the scope of vaginal hysterectomy. Strict control of indications, step by step standardized operation is the key to the success of surgical safety.