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目的探讨对非脱垂、良性病变的子宫施行腹腔镜辅助阴式子宫切除术的可行性和安全性。方法分析总结江苏省南通市通州区人民医院2008年9月～2010年10月期间腹腔镜辅助阴式子宫切除术的效果、手术要点及临床应用价值。结果 96例手术均成功,无一例中转开腹,术后24h拔除尿管下床活动,5～7天出院。结论腹腔镜辅助阴式子宫切除术为腹腔镜手术与经阴道子宫切除术的结合,吸取了腹式子宫切除术及经阴道子宫切除术的优点,腹腔镜辅助阴式子宫切除术患者创伤小,痛苦小,肠道干扰少,肛门排气快,康复快,值得临床推广应用。
Objective To investigate the feasibility and safety of laparoscopic assisted vaginal hysterectomy in non-prolapsed and benign lesions. Methods The results of laparoscopic-assisted vaginal hysterectomy from September 2008 to October 2010 in Tongzhou District People’s Hospital of Nantong City, Jiangsu Province were analyzed and summarized. The main points of operation and clinical application value were analyzed. Results All the 96 surgeries were successful. None of them were converted to laparotomy. The catheter was removed after 24 hours and discharged from hospital after 5 to 7 days. Conclusions Laparoscopic assisted vaginal hysterectomy is a combination of laparoscopic surgery and vaginal hysterectomy. The advantages of abdominal hysterectomy and transvaginal hysterectomy are learned. Laparoscopic assisted vaginal hysterectomy is less invasive, Little pain, less intestinal disturbance, anal exhaust faster, faster recovery, it is worth to promote clinical application.