腹腔镜辅助下阴式子宫切除术54例临床分析

目的:总结腹腔镜辅助下阴式子宫切除术(LAVH)的安全性、可行性、价值、并发症及手术技巧。方法:为54例患者行LAVH,对患者的临床资料、手术方式及随访结果进行总结。结果:除2例因盆腔严重粘连中转开腹外,其余全部行LAVH或LAVH+单侧或双侧附件切除术。平均手术时间132m in,术中平均出血量150m l。无并发症发生。结论:LAVH手术具有开腹手术及阴式手术共同的优点,既有开腹手术清晰的视野,又避免了阴道手术处理附件较困难、对盆腔情况缺乏全面的评估等弊病,具有广阔的应用空间及发展前景。

Clinical analysis of 54 patients received laparoscopically assisted vaginal hysterectomy

Objective:Summarize the security,feasibility,value,complication and operation skill of laparoscopically assisted vaginal hysteractomy(LAVH).Methods:54 patients were LAVH.We presented our preliminary data of patients' clinical characters,modus operandi and results of follow-up.Results:2 patients received laparotomy because of severe conglunitation.Mean operative time was 132 min,and mean blood loss was 150 ml.No patient had complication.Conclusions:LAVH has the merits of both laparotomy and vaginal operation.The visual field is as clear in LAVH as in laparotomy,so the operators could avoid the difficulty in dealing with adnexa and evaluating pelvic conditions.In brief,this approach deserves to be applied abroad.