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目的探讨保留血管及阴道穹窿的子宫肌瘤患者阴式筋膜内子宫切除术的临床价值。方法回顾性分析2005-1～2008-1大庆市林甸县医院68例子宫肌瘤需切除子宫者保留双侧子宫动脉上、下行支及阴道穹窿的阴式筋膜内子宫切除术的临床资料。结果经阴道完成手术68例,手术时间45～84min,平均(65.6±13.6)min、术中失血80～350mL(192±5)mL、术后排气时间平均(20土5)h、术后病率4.41%(3/68)、术后3个月恢复性生活55例,患者满意度达90.91%(50/55)。结论保留血管及阴道穹窿的子宫肌瘤患者阴式筋膜内子宫切除术效果可靠、并发症少,适合临床推广。
Objective To investigate the clinical value of vaginal fascia hysterectomy in patients with uterine fibroids that retain blood vessels and vaginal fornixes. Methods The clinical data of 68 cases of uterine fibroids hysterectomy hysterectomy in the Lindian County Hospital of Daqing City from January 2005 to January 2008 were retrospectively analyzed. . Results 68 cases underwent transvaginal operation, the operation time was 45-84 minutes (mean, 65.6 ± 13.6) min, the blood loss was 80-350mL (192 ± 5) mL, the average time of postoperative exhaust was (20 ± 5) h, The prevalence rate was 4.41% (3/68). 55 cases were rehabilitated at 3 months after operation, and the patients’ satisfaction reached 90.91% (50/55). Conclusions Vaginal fascia hysterectomy, which preserves blood vessels and vaginal fornix, is reliable and has few complications and is suitable for clinical promotion.