非脱垂子宫经阴道全子宫切除术疗效观察（附42例报告）  

Transvaginal resection of non - prolapsed uterus （ report of 42 cases ）

作　　者：许秀华[1] 

机构地区：[1]河南省商丘市第一人民医院妇产科,476100

出　　处：《中国实用医刊》2009年第14期29-30,共2页Chinese Journal of Practical Medicine

摘　　要：目的 探讨非脱垂子宫经阴道切除术（transvaginal hysterectomy，TVH）临床应用的可行性和安全性。方法回顾2005年5月至2008年5月42例子宫增大如8～14孕周非脱垂子宫患者行TvH治疗临床资料，采用子宫对半切开、肌瘤剔除及粉碎相结合的方式减小子宫体积。结果42例手术均顺利，无中转开腹，手术时间平均82min，术中出血平均150ml，无膀胱、直肠、输尿管损伤及大出血等并发症，术后恢复时间明显缩短。结论非脱垂子宫TVH具有手术时间短、出血量少、恢复快、住院时间短及无腹部瘢痕等优点，安全可行，术式选择应结合患者情况，遵循个体化原则。Objective To investigate the clinical efficacy and value of the transvaginal resection of non - prolapsed uterous, Methods A retrospective analysis was carried out in clinical data of 42 non - prolapsed uteros cases with hysterauxesis（ as 8 - 14 gestational weeks） by transvaginal resection from May 2005 to May 2008. Methods of uterus half resection, muscular tumor rejection combined shatter were given to decrease the uterus volum. Results All the 42 patients were operated successfully and no abdominal hysterectomy were need. Average operative time was 82 min, average blood loss was 150 ml. No complications such as injury of bladder, rectum and ureteral injury, and hemorrhoea occurred. Postoperative recover time decreased markedly. Conclusions With short operation time, small blood loss, quick recover time, short hospitalization time and no scar in abdomen, transvaginal hysterectomy has obvious advantages, and is a safe and feasible minimally invasive surgery.

关 键 词：非脱垂子宫 经阴道子宫切除术 疗效 临床应用 

分 类 号：R713.42[医药卫生—妇产科学]