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目的探讨大子宫行腹腔镜辅助阴式子宫切除术(LAVH)的手术指征、手术步骤及临床应用价值,总结腹腔镜辅助阴式子宫切除术的优点及可行性。方法回顾分析天津市第二医院50例大子宫患者行改良LAVH的临床资料,50例均顺利完成手术。结果手术成功率100%(50/50),平均手术时间113.5min,平均出血114ml,平均术后住院天数5.5d,无并发症发生。结论大子宫行LAVH具有腹部不留瘢痕、安全、微创,节约开支,提高病床周转及使用率等优点,是腹腔镜下子宫切除较安全可行的手术方法,值得临床推广。
Objective To investigate the surgical indications, surgical procedures and clinical value of laparoscopic assisted vaginal hysterectomy (LAVH) in the large uterus. To summarize the advantages and feasibility of laparoscopic assisted vaginal hysterectomy. Methods The clinical data of 50 patients with large uterus in the Second Hospital of Tianjin were analyzed retrospectively. All 50 patients underwent successful operation. Results The success rate of operation was 100% (50/50). The average operation time was 113.5 minutes. The mean bleeding time was 114ml. The average postoperative hospital stay was 5.5 days. No complications occurred. Conclusion LAVH in the large uterus has the advantages of no scar in the abdomen, safety, minimal invasion, cost saving, improved bed turnover and utilization rate. It is a safe and feasible surgical method for laparoscopic hysterectomy. It is worthy of clinical promotion.