论文部分内容阅读
目的探讨新式阴式非脱垂子宫全切术的手术方法、技巧、手术适应症。方法2007年1月至2008年1月对36例子宫增大如10～16孕周、子宫良性肿瘤,子宫体采用结扎子宫动静脉后切除宫颈,翻出子宫体后子宫肌瘤剔除,或者粉碎后取出。结果36例经阴道手术成功,平均子宫重量为469g,平均手术时间为90min(50～140min),平均失血量为200ml(50～400ml)。结论阴式子宫切除术手术时间短、出血量少、术后肛门排气早,住院天数短,术后疼痛轻,康复快,是一种安全有效的手术;经阴道切除部分较大的子宫是安全可行的,手术的成功与子宫大小、子宫肌瘤生长部位、单个子宫肌瘤的大小及位置有关。活动度及术者的经验和技术等有关。而新式阴式子宫全切术则提供更大的手术操作空间,使手术便于进行。
Objective To investigate the surgical methods, techniques and surgical indications of the new vaginal non-prolapsed hysterectomy. Methods From January 2007 to January 2008, 36 cases of uterine enlargement, such as 10 ~ 16 gestational weeks, benign uterine tumors, uterine body were excised by ligation of the uterine artery and vein, the uterine fibroids were removed or crushed After removing. Results 36 cases of vaginal surgery were successful. The mean uterine weight was 469g. The average operation time was 90min (50 ~ 140min). The average blood loss was 200ml (50 ~ 400ml). Conclusions Vaginal hysterectomy is a safe and effective surgery with short operative time, less bleeding, shorter anus discharge and shorter days of hospitalization, less postoperative pain and quick recovery. It is a safe and effective procedure for transvaginal resection of the larger part of the uterus Safe and feasible, the success of surgery and uterine size, uterine fibroids growth site, the size and location of a single uterine fibroids. Activity and the surgeon’s experience and technology and so on. The new vaginal hysterectomy provides more space for surgical operation, so that surgery is easy to carry out.