摘要
目的 探讨阴式大子宫切除术的可行性。方法 对 5 5例大子宫 (子宫体积如孕 12～ 18周 )施行阴式子宫切除术。术中分别采用子宫对半切开术、子宫肌瘤剔除术、子宫楔形或锥形切除术、子宫分碎术以缩小子宫体积。结果 5 5例阴式大子宫切除术均成功完成 ,无中转开腹手术者 ;平均子宫重量 5 4 5 g(5 2 0～ 96 0 g) ,平均手术时间 96分钟 (5 8～ 15 0分钟 ) ,平均出血量 110 ml(80～ 2 5 0 m l) ,平均术后住院日 5 .5天 (4～ 6天 )。
Objective To evaluate the technique and experiene of transvaginal hysterectomy (TVH) on large uterus.Methods TVH were performed on 55 cases with large uterus.The methods of reducing the uterine bulk were used including bisection,myomectomy,coring and morcellation.Results The TVH T were performed successfully on 55 cases with large uterus.The average weight of uterus for the 55 cases was 545g (520～960g),the mean time for the operation was 96minutes (58～150minutes),the average quantity of blood loss was 110ml (80～250ml),the average admission duration of postoperation was 5.5 days (4～6days).Conclusion Transvaginal hysterectomy is safe and effective for removing enlarged uterus.
出处
《山东医药》
CAS
北大核心
2004年第21期17-18,共2页
Shandong Medical Journal
