阴式子宫全切术后输卵管脱垂探讨  

Investigation of Fallopian Tube Prolapse after Vaginal Hysterectomy

作　　者：王丹阳[1] 

机构地区：[1]沈阳市第四人民医院妇产科,沈阳110031

出　　处：《中国现代医生》2008年第14期152-153,共2页China Modern Doctor

摘　　要：目的探讨阴式子宫全切术后输卵管脱垂原因、诊断、处理及预防措施。方法收集2005年1月～2007年11月阴式子宫全切术307例患者临床资料。结果手术后共发生阴道残端输卵管脱垂3例,发生率0.98%。3例患者术后均放置阴道引流管,其中2例患者有症状,1例无自觉症状。妇科检查:1例阴道残端见输卵管伞端,2例阴道残端见类似肉芽样组织。3例患者经阴道切除、局部烧灼脱垂的输卵管,术后半年复查无异常。结论输卵管脱垂是阴式子宫切除术后一种少见并发症。输卵管脱垂一般发生于子宫全切术后放置阴道引流患者,经正确的诊断和治疗预后良好。Objective To investigate the clinical diagnosis,treatment and prevention of fallopian tube prolapse （FFP）after vaginal hysterectomy. Methods A total of 307 patients received vaginal hysterectomy from 2005＇ to 2007＇. Results The overall incidente of FFP after vaginal hysterectomy was 0.98%. All of them were diagnosed according to the results of histology and follow-up. There were no symptoms in 1 case,but the other 2 cases had symptoms. The pelvic examination revealed the typical prolapsed fimbrial end of a fallopian tube in 1 case,and red granulation tissue in the other 2 cases. All of them were excised vaginally and cauterized. No recurrent cases were reported in follow up. Conclusion FTP is a rave complication after vaginal hysterectomy. The prognosis is well after proper diagnosis and treatment.

关 键 词：阴式子宫全切术 输卵管脱垂 诊断 治疗 原因 

分 类 号：R713.4[医药卫生—妇产科学]