School of Women's and Children's Health, Faculty of Medicine, University of New South Wales, Sydney, Australia.
Eur J Obstet Gynecol Reprod Biol. 2011 Aug;157(2):217-21. doi: 10.1016/j.ejogrb.2011.03.018. Epub 2011 Apr 20.
To study the feasibility and result of LAVH performed in virgins and nulliparae.
Retrospective review of 297 consecutive cases of LAVH using the Biswas Uterine Vaginal Elevator (BUVE) in a private hospital in Hong Kong for benign gynaecological conditions between July 2006 and February 2009. Variables analysed included patient demographics, operative times, uterine weight, hospital stay, intraoperative blood loss, and operative complications. Patients who were virgins and nulliparae were compared to each other and to a control group of patients receiving LAVH during the same period of time.
All 297 cases of LAVH were successfully performed without any conversion. Ninety-seven LAVHs were performed on 31 virgins and 66 nulliparae, while 200 LAVHs were performed on parous patients during the same study period. The uterine sizes in the virgin group were significantly larger than those in the other two groups. The operation times in the virgin and nullipara groups were significantly longer than those in the control group. The complication rates of LAVH in these three groups were 6.4%, 12.1% and 3% in the virgin, nulliparous and control groups respectively. The overall complication rate of this series was low at 5.3%.
LAVH is feasible with acceptable safety in virgins and nulliparae in spite of their narrow and tight vaginas.
研究处女和未产妇行腹腔镜辅助阴式子宫切除术（LAVH）的可行性和效果。
回顾性分析 2006 年 7 月至 2009 年 2 月期间在香港一家私人医院因良性妇科疾病行腹腔镜辅助阴式子宫切除术（LAVH）的 297 例连续病例，使用 Biswas 子宫阴道提升器（BUVE）。分析的变量包括患者人口统计学、手术时间、子宫重量、住院时间、术中失血量和手术并发症。将处女和未产妇与同期接受 LAVH 的对照组患者进行比较。
所有 297 例 LAVH 均成功完成，无一例中转开腹。97 例 LAVH 用于 31 例处女和 66 例未产妇，同期 200 例 LAVH 用于经产妇。处女组子宫大小明显大于其他两组。处女和未产妇组的手术时间明显长于对照组。三组 LAVH 的并发症发生率分别为处女组 6.4%、未产妇组 12.1%和对照组 3%。该系列的总体并发症发生率较低，为 5.3%。
尽管处女和未产妇的阴道狭窄而紧绷，但 LAVH 在她们中是可行的，具有可接受的安全性。
