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目的分析较大子宫经腹腔镜辅助阴式子宫切除术的可行性。方法回顾性分析因妇科良性疾病致子宫较大(子宫大小等同于孕12~16周)行腹腔镜辅助阴式子宫切除术的200例患者病例资料。结果 200例患者中,除5例因盆腔粘连严重转开腹外,其余均完成手术,手术时间(2.5±0.5)h,术中出血量(151.7±38.1)ml,子宫重量(520.0±281.6)g,术后排气时间(1.5±0.5)d,抗生素使用时间(2.3±1.2)d,下床时间(1.5±1.0)d,腹部切口全部愈合,拆线时间平均为5 d,术后平均住院时间为(5.6±1.0)d。结论具有较大子宫的患者也可通过腹腔镜辅助阴式子宫切除术完成手术,该术式优势明显,值得推广应用。
Objective To analyze the feasibility of laparoscopic assisted vaginal hysterectomy in the larger uterus. Methods A retrospective analysis of gynecological benign disease caused by the larger uterus (the same size of the uterus 12 to 16 weeks) laparoscopic-assisted vaginal hysterectomy in 200 cases of patients. Results Of the 200 patients, all the patients underwent surgery except pelvic adhesions in 5 cases. The operation time was 2.5 ± 0.5 h, the blood loss was 151.7 ± 38.1 ml, the weight of uterus was 520.0 ± 281.6, (1.5 ± 0.5) d, time of antibiotic use (2.3 ± 1.2) d and time of bed ambulation (1.5 ± 1.0) d, the incision of the abdomen was completely healed, the average removal time was 5 days, The length of stay was (5.6 ± 1.0) days. Conclusion Patients with large uterus can also be assisted by laparoscopic vaginal hysterectomy surgery, the surgical advantages obvious, it is worth promoting.