摘要
目的探讨非脱垂子宫经阴道切除的常见并发症及手术技巧问题。方法对我院43年间非脱垂子宫经阴道切除时发生并发症患者的临床资料作回顾性分析,并研讨手术技巧及其适应证。结果1100例非脱垂子宫经阴道切除术中,共有87例患者发生并发症。术中发生膀胱损伤6例,输尿管损伤2例,手术失败1例。术后24h以内发生阴道壁切缘出血3例;术后24h以后发生阴道残端出血18例,残端血肿3例,阴道残端炎30例;发生右小腿血栓性静脉炎2例,左腓肠肌静脉炎及栓塞1例,尿路感染20例,尿潴留1例。经手术纠正、对症及保守治疗后症状均好转,且预后良好。结论非脱垂子宫经阴道切除术易损伤邻近器官及发生相应并发症,应掌握手术技巧和适应证。
Objective To appraise the common complications of transvaginal hysterectomy with non-prolapsed uterus and surgical technical problems.Methods The complications of transvaginal hysterectomy for non-prolapsed uterus in our hospital in the past 43 years were retrospectively reviewed. The surgical techniques and indications were also discussed.Results Of 1100 patients who received transvaginal hysterectomy with non-prolapsed uterus, 87 had complications, including rupture of bladder(n=6); trauma of ureter(n=2);vaginal stump hemorrhage within 24 h(n=3); vaginal stump hemorrhage after 24 h (n=18);vaginal stump hematoma (n=3); vaginal stump inflammation (n=30); venous thrombosis of the right leg(n=2); phlebitis of left gastrocnemius and embolism(n=1); urethral infection (n=20); urinary retention(n=1). All complications were corrected by surgery or by conservative treatment with good outcomes.Conclusions Transvaginal hysterectomy with non-prolapsed uterus is liable to have trauma of adjacent organs and corresponding complications. The surgical techniques and indications must be well handled.
出处
《上海医学》
CAS
CSCD
北大核心
2005年第6期481-483,共3页
Shanghai Medical Journal
