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目的探讨腹腔镜辅助阴式子宫切除术的优点。方法回顾性分析180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3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。结论腹腔镜辅助阴式子宫全切除术保留了阴式子宫全切除术的优点,同时在腹腔镜下可清楚暴露视野,可以利用腹腔镜进行一些阴式手术操作难以完成的手术步聚,使阴式子宫切除术变得安全、简单和容易操作,值得临床应用。
Objective To explore the advantages of laparoscopic assisted vaginal hysterectomy. Methods The clinical data of 180 patients were retrospectively analyzed. Results In the complete abdominal hysterectomy group, no operative injury and complications were found. In the vaginal hysterectomy group, 3 cases were converted to laparotomy, 1 case had severe adhesion and 1 case was converted to laparotomy due to mechanical reasons. Laparoscopic assisted vaginal hysterectomy surgery were successfully completed, no case of conversion to laparotomy. Conclusion Laparoscopic assisted vaginal hysterectomy retained the advantages of vaginal hysterectomy, while laparoscopic clear vision can be exposed, laparoscopic surgery can be difficult to complete some of the vaginal surgery step gather, so that the negative Hysterectomy becomes safe, simple and easy to operate, worthy of clinical application.