阴式全子宫切除术后阴道残端出血21例临床分析  

vaginal stump bleeding after vaginal hysterectomy:an analysis of 21 cases

作　　者：管春风[1,2,3] 赵卫东[1] 李如霞[2] 卫兵[3] 

机构地区：[1]安徽医科大学附属省立医院妇产科,安徽合肥230001 [2]安徽省铜陵市妇幼保健院妇产科,安徽铜陵244000 [3]安徽医科大学第二附属医院妇产科,安徽合肥230061

出　　处：《安徽医药》2013年第8期1340-1341,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨阴式全子宫切除术后阴道残端出血的原因及治疗方法。方法回顾分析该院2008年10月—2012年10月经阴子宫全切术后发生阴道残端出血患者21例的出血原因及治疗方法。结果所有患者均于术后6～16 d康复出院。出院后5例再次出血,其中二次住院治疗1例,4例门诊治疗,经治疗后患者均恢复正常。结论阴式全子宫切除术后阴道残端出血在临床上较为常见,加强围手术期的管理预防阴道残端出血,及时发现及治疗可有效提高治疗效果及改善预后。Objective To explore the etiology,and treatment of vaginal stump bleeding after vaginal hysterectomy.Methods The etiology,and treatment of 21 patients of vaginal stump bleeding after vaginal hysterectomy from October 2008 to October 2012 were retrospectively analysed.Results All patients were discharged from hospital 6 ～ 16 days after postoperative rehabilitation.Of 5 cases of rebleeding after discharge from hospital,1 case was hospitalized,4 cases accepted ambulatory treatment.All the patients were cured after treatment.Conclusions Vaginal stump bleeding after vaginal hysterectomy is quite common in clinical practice.We should strengthen the management of perioperative prevention of vaginal stump bleeding.Early detection and treatment can effectively improve the treatment and prognosis.

关 键 词：阴式全子宫切除术 阴道残端出血 并发症 

分 类 号：R713.42[医药卫生—妇产科学]