【摘要】 目的：探讨腹腔镜辅助下经阴道子宫次全切除术的可行性。方法：回顾分析子宫肌瘤70例行腹腔镜辅助下子宫次全切除术的临床资料。结果：70例均于镜下完成手术，平均手术时间130min，出血量约90ml。结论：腹腔镜辅助下行子宫次全切除术，手术时间短，子宫峡部残端及盆底腹膜缝合效果好，具备腹腔镜微创及传统手术缝合严密的双重优点。

    【关键词】 子宫切除术，阴道式；腹腔镜；病例报告

    Laparoscopy assisted transvaginal subtotal hysterecomy:a report of 70 cases

    TIAN Chun,ZHOU Hong

    Department of Gynecology and Obstctrics,Liaocheng People's Hospital,Liaocheng 252000,China

    【Abstract】 Objective:To explore the feasibility of laparoscopy assisted transvaginal subtotal hysterectomy.Methods:The clinical data of 70 cases of laparoscopy assisted transvaginal subtotal hysterectomy were retrospectively analyzed.Results:All were perfomed successfully in a mean time of 130 minutes,and with a mean blood loss of 90ml.Conclusions:Laparoscopy assisted transvaginal subtotal hysterectomy has the advantages of minimal invasion and firm stitching up the uterus isthmus stump and pelvic peritoneum.

    【Key words】 Hysterectomy,vaginal;Laparoscopy;Case report

    子宫肌瘤的发病率在育龄妇女可达20%～40%[1] ......