非脱垂子宫经阴道切除术87例的临床研究  

Clinical study on hysterectomy via vaginal for treating enlarged uterus without prolapse

作　　者：胡卫平[1] 凌斌[1] 赵卫东[1] 吴大保[1] 李红[1] 薛青[1] 申震[1] 徐萍[1] 张雪芬[1] 

机构地区：[1]安徽医科大学附属省立医院安徽省立医院妇产科,合肥230001

出　　处：《中国临床保健杂志》2006年第6期567-569,共3页Chinese Journal of Clinical Healthcare

摘　　要：目的探讨非脱垂、大子宫阴式切除术的可行性及优越性。方法选择我院2004年1月至2005年12月87例非脱垂子宫有手术治疗指征的患者施行经阴道全子宫切除术(TVH),大子宫采用肌瘤剔除及粉碎术等方法减小子宫体积。对照组90例采用经腹全子宫切除术(TAH),观察手术时间、术中出血量、术后排气时间、术后住院时间、并发症、术后随访满意度。结果87例非脱垂病变子宫经阴道切除全部成功。平均手术时间(65±23)m in,与对照组相似,平均出血量(90±65)m l,术后平均排气时间(16±3)h,术后平均住院时间(4±2)d,均小于对照组;无手术副损伤,术后发生一例输卵管脱垂并发症。结论经过详细的术前检查、正确的评估及充分的准备,经阴道切除≤16孕周大小的非脱垂子宫是安全、有效的。Objective To evaluate the feasibility and advantages of trans vaginal hysterectomy （TVH） for treating enlarged uterus without prolapse. Methods Eighty-seven patients had been undergoed vaginal hysterectomy for gynecological disorders from Jan,2004 to Dec ,2005. The technique used for reducing the uterine bulk included myomectomy and morcellation etc. 90 cases who had TVH were used as control group. Meanwhile,the method of operation, complication of surgery ,operation time, estimated operative blood loss, postoperative recovery and hospital stay days were retrospectively analyzed. Results All eighty-seven cases of vaginal hysterectomy were performed successfully. The mean operative time was （65 ±23） minutes,the estimated blood loss was （90 ±65） ml. The mean time of passing flatus was （ 16 ±3） hours and the average hospital stay days was 4 ±2 days,which all were lower than thoes of the control group. There were no operative injuries. Complications related to surgery were found in 1 case （ prolapse of fallopian tube）. Conclusion Vaginal hysterectomy is a safe and effective way for removing the uterus without prolapse.

关 键 词：子宫切除术 阴道式 子宫肿瘤 子宫出血 

分 类 号：R713.4[医药卫生—妇产科学]