腹腔镜辅助阴式子宫切除术98例分析  

Laparoscopic Assisted Transvaginal Hysterectomy

作　　者：喇端端[1] 郑民华[1] 沈立翡[1] 华祖德[1] 

机构地区：[1]上海第二医科大学附属瑞金医院妇科

出　　处：《中华妇产科杂志》1998年第6期342-344,共3页Chinese Journal of Obstetrics and Gynecology

摘　　要：目的通过对９８例患者行腹腔镜辅助阴式子宫切除术（ＬＡＶＨ）分析，进一步探讨ＬＡＶＨ的适应证、手术要点及临床应用价值。方法自１９９５年２月至１９９７年２月，对９８例因各种良性妇科疾病而需行子宫全切除术的患者，采用ＬＡＶＨ术式。患者平均年龄５２岁（３８～６６岁），术前子宫正常大小者３８例，子宫增大、小于孕１２周４４例，大于孕１２周１６例，其中有下腹手术史者２９例。结果９８例行ＬＡＶＨ中，２例中转开腹手术，中转率２．０％。平均手术时间１０６分钟（６０～２４０分钟），出血量约５０～１５０ｍｌ。平均住院日为６天。结论ＬＡＶＨ拓宽了阴式子宫切除的适应证，可避免开腹。Objective To evaluate the indication, technical procedure and the clinical value of laparoscopic assisted trans vaginal hysterectomy (LAVH). Methods Ninety eight patients suffered from various kinds of benign gynecological diseases underwent LAVH from Feb. 1995 to Feb. 1997. The mean age was 52 years (range 38～66), preoperative examination findings were 38 cases of normal uterine size, 60 of uterine enlargement (44 less than 12 week gestational size and 16 larger). Among these patients, 29 cases had a history of lower abdominal laparotomy. Results 2 out of the 98 cases were switched to laparotomy (2.0%). Mean operation time of LAVH was 106 min (range 60～240 min). The amount of blood loss was approximately 50～150 ml during operation, and the average hospitalization was 6 days. Conclusion Laparoscopic assisted vaginal hysterectomy expands the indication of transvaginal hysterectomy, and avoids laparotomy and lessens injuries, shortens the hospitalization. It is a promising approach of hysterectomy and should be used widely.

关 键 词：腹腔镜 子宫切除术 阴道式 

分 类 号：R713.42[医药卫生—妇产科学]