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目的探讨腹腔镜辅助阴式全子宫切除术(LAVH)手术优点及相关适应症、手术操作要点、并发症的预防。方法对2008年1月至2013年5月58例腹腔镜辅助阴式全子宫切除术的临床资料进行回顾性分析。结果微创手术完成成功率100%,无中转开腹病例,手术时间(97.5±34.5)min,术中平均出血量(115.5±26.0)ml,术后平均住院日(7.5±2.3)d。无术后严重并发症的发生。结论腹腔镜辅助阴式全子宫切除术具有出血少、创伤小、易于掌握、康复快等优点,值得临床推广。
Objective To investigate the advantages and related indications of laparoscopic assisted vaginal hysterectomy (LAVH), the main points of operation and the prevention of complications. Methods The clinical data of 58 cases of laparoscopic assisted vaginal hysterectomy from January 2008 to May 2013 were analyzed retrospectively. Results The successful rate of minimally invasive surgery was 100%. There were no cases of laparotomy, operation time (97.5 ± 34.5) min, mean intraoperative blood loss (115.5 ± 26.0) ml and average postoperative hospital stay (7.5 ± 2.3) d. No postoperative complications occurred. Conclusions Laparoscopic assisted vaginal hysterectomy with less bleeding, less trauma, easy to grasp, quick recovery, etc., worthy of clinical promotion.