腹腔镜辅助阴式全子宫切除术121例分析  

Analysis of 121 cases of laparoscopic assisted transvaginal hysterectomy

作　　者：黄浩梁[1] 

机构地区：[1]武汉市第一医院妇产科,武汉430022

出　　处：《中国微创外科杂志》2005年第3期187-188,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨腹腔镜辅助阴式全子宫切除术的效果、手术要点. 方法对121例子宫肌瘤、宫颈上皮内瘤样病变Ⅲ级、子宫腺肌瘤、卵巢肿瘤、子宫内膜不典型增生等有子宫切除指征的患者行腹腔镜辅助阴式全子宫切除术. 结果 117例手术成功,由于粘连严重中转开腹4例,成功率96.7%(117/121).平均手术时间95 min(58～192 min),术中平均出血量120 ml(100～250 ml),术后住院5 ～8 d. 结论腹腔镜辅助阴式全子宫切除术创伤小,肠道干扰少,恢复快.手术成功与子宫大小、形状、活动度、阴道的容量及术者的经验和技术有关.Objective To investigate effects and techniques of laparoscopic assisted transvaginal hysterectomy (LAVH). Methods Laparoscopic assisted transvaginal hysterectomy was carried out in 121 patients with hysteromyoma, cervical intraepithelial neoplasia grade Ⅲ, uterine adenomyoma, ovarian tumor, or atypical hyperplasia of endometrium, which were all indications for uterus resection. Results LAVH was performed successfully in 117 cases, whereas a conversion to open surgery was required in 4 cases because of serious adhesion, the success rate being 96 7% (117/121). The mean operating time was 95 min (range, 58~192 min). The mean amount of intraoperative blood loss was 120 ml (range, 100~250 ml). The postoperative hospital stay was 5~8 days. Conclusions LAVH was associated with mild trauma, slight intestinal disturbance, and quick recovery. Whether or not an operation is successful is related to the size, shape and mobility of the uterus, vaginal space, and operator’s skills and experience.

关 键 词：腹腔镜 阴式 全子宫切除术 

分 类 号：R713.42[医药卫生—妇产科学]