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目的探讨经阴道后壁中段切口在腹腔镜手术标本取出中的可行性。方法回顾性分析沈阳市妇婴医院2016年11月至2017年1月妇科病房住院并行腹腔镜手术患者68例,采用经阴道后壁中段切口,将手术标本套袋后取出。结果全部68例行腹腔镜手术患者,标本套袋后经阴道后壁中段切口顺利取出,无破裂,无标本残留,无其他手术并发症发生,术后阴道切口愈合良好。结论阴道后壁中段切口充分利用阴道这一自然通道,取出腹腔镜手术标本,符合微创原则,便捷有效,易于掌握。
Objective To investigate the feasibility of transvaginal posterior wall incision in laparoscopic surgical removal. Methods A retrospective analysis of 68 cases of gynecologic ward hospitalized in Shenyang Maternal and Child Hospital between November 2016 and January 2017 was performed with laparoscopic surgery. The transvaginal posterior wall incision was made and the surgical specimens were removed after bagging. Results All 68 patients underwent laparoscopic surgery. The specimens were successfully taken out through the middle vaginal wall incision without any rupture and without any residual complications after operation. No other complications occurred and the vaginal incision healed well. Conclusion The middle vaginal incision made full use of the vagina this natural channel, remove the laparoscopic surgical specimens, in line with the principle of minimally invasive, convenient and effective, easy to grasp.