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目的探讨非脱垂子宫阴式切除术的手术适应证、手术要点及应用价值。方法对2011年1月至2012年12月本院收治的77例非脱垂子宫阴式切除术的患者进行分析总结。结果所有患者均顺利出院,无一例发生输尿管膀胱直肠损伤,一例因血管回缩,有活动性出血改中转开腹。结论对于子宫小于14孕周、活动度好、有阴道分娩史、排除恶性病变的患者行阴式子宫切除术是安全可行的,手术成功率与手术者技术、经验、手术指征的把握有关,该手术利用天然孔道施行手术,具有创伤小、肠道干扰轻、术后疼痛轻、恢复快、体表没有疤痕等优点。
Objective To investigate the surgical indications, operative points and application value of non-prolapsed uterine vaginal resection. Methods From January 2011 to December 2012 in our hospital 77 cases of non-prolapsed uterine vaginal resection patients were analyzed and summarized. Results All patients were successfully discharged, no case of ureteral bladder rectal injury, a case of vascular retraction, active bleeding to conversion laparotomy. Conclusions It is safe and feasible to perform vaginal hysterectomy in patients with less than 14 gestational weeks, good mobility, vaginal delivery history and malignant lesions. The success rate of operation is related to the technique, experience and indications of operation, The operation of the use of natural holes for surgery, with less trauma, intestinal disturbance, postoperative pain, rapid recovery, the body surface without scar and so on.