ObjectiveTo analyze the clinical application effect of modified laparoscopic-assisted vaginal large hysterectomy.MethodsA total of 80 patients undergoing large hysterectomy were randomly divided into two groups, and each group contained 40 cases. The control group received conventional laparoscopic-assisted vaginal large hysterectomy (LAVH), and the observation group received modified LAVH. Curative effects of the two groups were observed.ResultsThe observation group had much better intraoperative bleeding volume, operation time, and anus exhaust time than the control group (P<0.05). Incidence of complications was 2.5% in the observation group, and that was obviously lower than 17.5% in the control group (P<0.05).ConclusionModified laparoscopic-assisted operation in large hysterectomy has precise effect with few complications, and this method is worthy of promotion and application.%目的：分析改良腹腔镜辅助阴式大型子宫切除术的临床应用效果。方法80例行大型子宫切除术患者，随机分为两组，每组40例，对照组行常规腹腔镜辅助阴式大型子宫切除术(LAVH)，观察组则行改良LAVH。观察两组的治疗效果。结果观察组患者的术中出血量、手术用时、肛门排气时间均明显优于对照组(P<0.05)。观察组患者的并发症发生率为2.5%，明显低于对照组的17.5%(P<0.05)。结论在大型子宫切除术中，改良腹腔镜辅助术式疗效确切，并发症较少，值得推广应用。
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