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目的探讨对非脱垂子宫的子宫肌瘤患者实施阴式子宫肌瘤剔除术的可行性和安全性。方法对23例患有子宫肌瘤,并排除宫颈、子宫内膜恶性疾病,要求保留生育能力且为非脱垂子宫的患者行阴式子宫肌瘤剔除术。分析子宫肌瘤数目、部位与手术时间、术中出血量的相关性及术中术后并发症、住院时间、术后月经恢复情况。结果 23例手术均获成功,平均手术时间34.5(30～45)m in,平均术中出血110(100～200)m l,手术后肛门排气1.12 d,术后发热率50%。术后住院天数6.9(5～7)d。子宫肌瘤的数目与术中出血量的多少有关,子宫肌瘤的数目越多术中出血量就越多。肌瘤的数目、肌瘤的部位对手术时间有影响。结论阴式子宫肌瘤剔除术具有微创手术的一切优点,是一种安全、有效、可行的保留器官和生育能力的手术方法。
Objective To investigate the feasibility and safety of vaginal myomectomy in patients with uterine fibroids without prolapsed uterus. Methods 23 cases of patients with uterine fibroids, and the exclusion of cervical and endometrial malignancies, requiring retention of fertility and non-prolapsed uterine patients underwent vaginal myomectomy. Analysis of the number of uterine fibroids, site and operation time, intraoperative blood loss and intraoperative and postoperative complications, hospital stay, postoperative menstrual recovery. Results All the 23 cases were successful. The average operation time was 34.5 (30-45) mm, with an average intraoperative blood loss of 110 (100-200) ml. The postoperative anal exhaust was 1.12 days and the postoperative fever rate was 50%. Postoperative hospital stay 6.9 (5 ~ 7) d. The number of uterine fibroids and the amount of intraoperative bleeding, uterine fibroids more the number of intraoperative blood loss more. The number of fibroids, fibroids site has an impact on the operation time. Conclusion Vaginal myomectomy has all the advantages of minimally invasive surgery, is a safe, effective and feasible method of preserving organs and fertility.