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目的探讨阴式子宫肌瘤剔除术的可行性。方法对我院2005年1月～2006年6月施行阴式子宫肌瘤剔除术46例患者的病例进行回顾性分析。结果46例均成功完成手术,手术时间45～135分钟,平均72.5±18分钟;术中出血量80～350ml,平均90±36ml;剔除肌瘤个数最多11个,直径最大8cm。术后肛门排气时间8～26小时,全部患者48小时后可下床活动。平均住院时间7～8天。结论阴式子宫肌瘤剔除术微创,经济实用,可在基层医院开展。
Objective To explore the feasibility of vaginal myomectomy. Methods A retrospective analysis was performed on 46 cases of vaginal myomectomy performed in our hospital from January 2005 to June 2006. Results All the 46 cases completed the operation successfully. The operation time was 45 to 135 minutes with an average of 72.5 ± 18 minutes. The intraoperative blood loss was 80 to 350 ml with an average of 90 ± 36 ml. The number of fibroids removed was 11 and the diameter was 8 cm. Postoperative anal exhaust time 8 to 26 hours, all patients can be out of bed after 48 hours of activity. The average length of stay 7 to 8 days. Conclusion Negative vaginal myomectomy minimally invasive, economical and practical, can be carried out in primary hospitals.