【摘要】 目的 探讨腹腔镜子宫切除术的临床价值。方法 对46例在腹腔镜下施行子宫切除患者进行回顾性比较分析。结果 腹腔镜辅助的经阴道子宫切除术(LAVH)受子宫大小影响较小，适用于大子宫(>孕16周)患者。腹腔镜行筋膜内宫颈上子宫切除术(CISH)可保持阴道及盆底正常解剖结构的完整性，切除宫颈癌的好发部位，且手术后受子宫与周围组织粘连的限制少，适用于子宫较小，年龄较轻，要求保留宫颈的患者。结论 CISH和LAVH均可作为临床选用的术式之一，具有术后病率低，恢复快等特点，可根据患者实际情况选择较为合适的术式。关键词 腹腔镜 子宫切除术

    Study on two techniques of laparoscopic surgery on hysterectomy

    Zheng Mingnan，Ma dan

    Dalian Central Hospital，Dalian116023.

    【Abstract】 Objective To summrize the clinical significancy of different technique of gynecological laparoˉscopic surgery on hysterectomy.Methods Analyse diffence of46patients who were treated with laparoscopy hysterecˉtomy.Results The laparoscopy assisted vaginal hysterectomy(LAVH)were not limited by the uterine size，LAVH was suitable for patients with the uterus more than pregnant16weeks size.Classical intrafascial surpracevical hysterecˉtomy(CISH)might preseve the intact of normal pelvic anatomy and for section of the entire transformati on zone which area easily affected of cervical carcinoma.Conclusion Laparoscopy hysterectomy is worthy of being advocated owing to its benefit. ......