阴道后穹隆切开行经阴道子宫肌瘤剔除术:在普通病例中实施的可能性

• 作 者: Agostini A. Deval B.san A. 张丽娟
• 机 构: Dept. of Obstet. and Gynaecology B, La Conception Hospital, 147 Boulevard Baille, 13385 Cedex 05, Ma
• 出 处: 世界核心医学期刊文摘(妇产科学分册)
• 发表日期: 2005年04期
• 关键词: 阴道后穹隆 妇科医院 可重复性 腹腔镜手术 后穹隆 病例 镜下手术 手术操作方法 直肠损伤 盆腔脓肿

Background: Myomectomy is classically performed via laparotomy. Endoscopic surgery is limited for some indications. Vaginal myomectomy is a surgical procedure that has recently been evaluated. The aim of this study was to evaluate the feasibility, reproducibility and complication rate of vaginal myomectomy via posterior colpotomy. Methods: A retrospective study was performed from November 1998 to February 2001 in three departments of gynaecology. Results: Fortyfive patients were involved, 17 (37.8%) of whom underwent laparoscopy before vaginal myomectomy for evaluation or treatment of a second pelvic disorder. Myomectomy was performed vaginally in 40 (89%) of the 45 patients. Peroperative laparotomy was required in five patients (11%), either because vaginal myomectomy proved impossible (four cases) or because of rectal injury (one case). One patient needed supplementary laparotomy on day 8 for the treatment of a pelvic abscess. Conclusion: Posterior vaginal myomectomy seems to be a feasible and reproducible surgical procedure. The success rate of vaginal myomectomy in this study was over 80%. Further randomised studies are needed to compare this procedure with laparotomy and laparoscopy.

The aim of this study was to evaluate the feasibility, reproducibility and complication rate of vaginal myomectomy via posterior colpotomy . Results: A retrospective study was performed from November 1998 to February 2001 in three departments of gynaecology. Results: Fortyfive patients were involved, 17 (37.8%) of whom underwent laparoscopy before vaginal myomectomy for evaluation or treatment of a second pelvic disorder. Myomectomy was performed vaginally in 40 (89%) of the 45 patients. Peroperative laparotomy was required in five patients (11%), either because vaginal myomectomy may impossible (four cases) or because of rectal injury (one case). One patient needed supplementary laparotomy on day 8 for the treatment of a pelvic abscess. Conclusion: Posterior vaginal myomectomy seems to be a fe as well as reproducible surgical procedure. The success rate of vaginal myomectomy in this study was over 80%. Further randomized studies are needed to compare this procedure with laparotomy and laparoscopy.