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目的探讨新式非脱垂子宫经阴道全切术(TVH)的术前病例选择参考要素、术中操作要点和并发症防治措施。方法回顾性分析2010年6月至2012年6月福建省妇幼保健院收治的子宫肌瘤和/或腺肌病手术指征的TVH病例临床资料。结果手术耗时与子宫的大小呈正相关,是否进行附件处理和/或阔韧带肌瘤切除,与手术耗时亦呈正相关;手术耗时与患者年龄、盆腹腔手术史、孕产史次数的关联性均不显著。结论对于子宫活动度好的非脱垂子宫(子宫≤16孕周),若附件肿物直径≤6cm且为非恶性病变,TVH术式较安全,值得推广的微创手术。
Objective To explore the preoperative case selection reference elements, operative points and prevention and treatment measures of the new non-prolapsed uterus vaginal total hysterectomy (TVH). Methods The clinical data of TVH cases from June 2010 to June 2012 in Fujian MCH hospital for indication of surgical treatment of uterine fibroids and / or adenomyosis were retrospectively analyzed. Results The time spent on surgery was positively correlated with the size of the uterus. It was positively correlated with the time taken for the operation if the accessory treatment and / or the broad ligament myomectomy were performed. The relationship between time-consuming surgery and patient’s age, abdominal and abdominal surgery history, Sex is not significant. Conclusion For non-prolapsed uterus with good uterine activity (uterus ≤ 16 gestational weeks), TVH is safer and worthy of promotion if the attachment mass is ≤6cm in diameter and is non-malignant.