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目的探讨腹腔镜辅助经阴道巨大子宫切除术(LAVH)的可行性及临床应用价值。方法回顾总结对子宫肌瘤、子宫腺肌症42例子宫超过12孕周大小的患者行LAVH的经验体会。结果42例患者全部行LAVH,平均手术时间(158.5±68.7)min,平均术中出血量(148.6±65.8)ml,术后平均住院时间(6.4±2.2)d。无1例出现输尿管、膀胱、直肠等脏器损伤。结论巨大子宫行LAVH是安全可行的,术者熟练的LAVH手术技巧,加上助手的默契配合,是手术成功的关键。
Objective To investigate the feasibility and clinical value of laparoscopic assisted vaginal hysterectomy (LAVH). Methods A retrospective review of the experiences of LAVH in 42 patients with uterine fibroids and adenomyosis over 12 gestational weeks was conducted. Results All 42 patients underwent LAVH. The mean operative time (158.5 ± 68.7) min, mean intraoperative blood loss (148.6 ± 65.8) ml and postoperative average length of hospital stay (6.4 ± 2.2) d. No one case of ureteral, bladder, rectum and other organ damage. Conclusions LAVH is safe and feasible in huge uterine line. Skilled LAVH operation skills and the tacit cooperation of assistant are the keys to successful operation.