非脱垂大子宫经阴道切除98例临床研究  

CLINICAL STUDY ON TRANSVAGINAL HYSTERECTOMY FOR NON-PROLAPSE AND LARGE UTERUS

作　　者：鲁永鲜[1] 刘昕[1] 张素梅[1] 刘静霞[1] 张琳[1] 沈文洁[1] 胡蔓萝[1] 胡力力[1] 

机构地区：[1]解放军第304医院

出　　处：《解放军医学杂志》2001年第5期382-384,共3页Medical Journal of Chinese People's Liberation Army

摘　　要：采用子宫劈开、肌瘤剜除、碎解、去核等缩小子宫体积的方法 ,对 98例非脱垂子宫增大如 6～ 18孕周、重 138～ 741g的子宫肌瘤、子宫肌腺病患者行经阴道子宫切除术。结果 93例经阴道切除 ,成功率 95 %。子宫平均重量 376 g(138～ 741g) ,平均手术时间 99min(40～ 135min) ,估计平均失血量 2 45ml(5 0～ 6 0 0ml)。术后住院时间平均 5 .4天 (4～ 9天 )。术后病率 3.1%。表明非脱垂大子宫经过有效的缩小子宫体积多可经阴道安全切除。选择手术时不仅要注意子宫的绝对大小 ,还需充分注意子宫的形态及活动度。手术的成功与术者经验和技术密切相关。Ninety eight transvaginal hysterectomies were performed for non prolapse and enlarged myomatous uteri or adenomyosis , with the size equivalent to 6～18 gestational weeks or 138～741g . Bisection , enucleation, morcellation , coring and combination thereof were used to facilitate the operation by reducing the uterine volume. The results showed that, out of 98, 93 cases of vaginal hysterectomy were performed successfully . The average weight of the uterus for the 98 cases were 376g (ranging from 138 to 741g), the mean time for the operation was 99 minutes (ranging from 40 to 135 minutes), the average quantity of blood loss was 245 ml (range 50 to 600ml). The morbidity rate was as low as 3.1% and the average postoperative hospital stay was 5.4 days (range 4 to 9 days). These data suggest that non prolapse and enlarged uterus can be safely removed transvaginally through reduction of the uteriune volume . Not only the size , but also the shape and the mobility of the uterus should be considered when indication for transvaginal hysterectomy existed . The successful operation was closely related to the operator’s skill and experiences .

关 键 词：子宫肿瘤 阴道式子宫切除术 平滑肌瘤 腺肌瘤 

分 类 号：R737.33[医药卫生—肿瘤] R730.56[医药卫生—临床医学]