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目的探讨免气腹腔镜辅助下大子宫经阴道全切安全、实用的手术方法。方法对2007-09-2009-09 36例子宫大小相当于孕12~14周的子宫肌瘤及子宫腺肌症患者作观察组行免气腹腔镜辅助下阴式子宫全切术(LAVH),对照组33例施行开腹子宫全切术(TAH)。结果两组手术均获成功,观察组手术时间短,术后疼痛轻,术后病率低,肛门排气早,住院时间短,无并发症发生。结论免气腹腔镜辅助下大子宫经阴道全切手术创伤小,恢复快,且安全可靠,实用。
Objective To investigate the safe and practical operation method of transvaginal vaginal hysterectomy assisted by laparoscopy. Methods From March 2007 to September 2009, 36 cases of uterine leiomyoma and adenomyosis with gestational age of 12 to 14 weeks were included in the observation group undergoing gas-free laparoscopic assisted vaginal hysterectomy (LAVH) Control group, 33 cases underwent open hysterectomy (TAH). Results The operation of both groups was successful. The observation group had short operative time, light postoperative pain, low postoperative morbidity, early anus discharge, short hospital stay and no complication. Conclusion Laparoscopic assisted large vaginal transvaginative surgery is less traumatic, faster recovery, and safe, reliable and practical.