基层医院开展阴式子宫手术治疗妇科疾病的体会  

Experience of Transvaginal Uterine Operation in Treatment of Gynecological Diseases in Basic Hospital

作　　者：华乐甫 靳栎燕 张学仙 

机构地区：[1]大理州祥云县中医医院妇科,祥云672100

出　　处：《四川解剖学杂志》2014年第3期19-20,共2页Sichuan Journal of Anatomy

摘　　要：目的探讨经阴道手术治疗子宫疾病在基层医院的可行性及应用价值。方法对我院2010.01~2013.12共72例子宫疾病经阴道手术治疗（单纯全子宫切除术36例,次全子宫切除术6例,子宫肌瘤剔除术18例,子宫切除加阴道壁修补术12例）进行回顾性分析,统计手术成功率、手术时间、术中出血量、术中及术后并发症。结果手术成功率98.6%,中转开腹率1.4%,手术平均时间为（78.6±28.2）min,术中出血为（128.2±36.7）ml,术中术后并发症2例（2.8%）。结论阴式子宫手术治疗妇科疾病不开腹,具备微创和安全的优点,不需要昂贵的设备,只要掌握好适应症,尤其适合基层医院开展,值得推广应用。Objective This survey was made to investigate the feasibility and application value on transvaginal operation in the treatment of uterine disease in primary hospital.Methods A total of 72 cases of uterine disease of uterus transvaginal operation treatment（simple hysterectomy in 36 cases,subtotal hysterectomy in 6cases,18 cases of uterine myomectomy,hysterectomy in 12 cases with vaginal walls repaired）in our hospital from 2010.01-2013.12 were retrospectively analyzed.And,success rate of operation,operation time,intraoperative blood loss,intraoperative and postoperative complications were analyzed statistically.Results The successful rate of operation was98.6%,the conversion into laparotomy rate of 1.4%,the average time of operation was（78.6±28.2）min,the average of bleeding in operation was（128.2±36.7）ml,postoperative complications in 2cases（2.8%）.ConclusionTransvaginal uterine operation treatments of gynecological diseases do not laparotomy,with the advantage of minimally invasive and safe,and without the need for expensive equipment.It is worthy of popularization and application for primary hospitals under the indications mastering.

关 键 词：阴式子宫手术 妇科疾病 基层医院 体会 

分 类 号：R713[医药卫生—妇产科学]