摘要
目的探讨经阴子宫肌瘤剔除术的可行性、优点及安全性。方法对40例子宫肌瘤患者行经阴子宫肌瘤剔除术。根据肌瘤位置选择切开阴道前穹窿或后穹窿,巾钳牵拉子宫并暴露于阴道,切开子宫浆肌层,剔除肌瘤,1-Dexon线缝合子宫浆肌层及阴道切口。结果40例经阴子宫肌瘤剔除术均获成功,手术时间40-70 min,平均（60±19）min,术中出血量为60-120 ml,平均（100±20）ml,术后均住院5 d,术后平均排气时间（17±8）h。35例随访3-12个月,平均（5±2）个月,术前月经过多及尿频、尿急症状均消失,B超检查未发现肌瘤。结论经阴子宫肌瘤剔除术具有创伤小,恢复快,安全可靠等优点。
Objective To explore the feasibility, advantage and safety of transvaginal myomectomy （TVM）. Methods Forty patients with uterine myoma were treated with TVM form October 2005 to November 2006. The myomeetomy was performed through a vaginal incision, which was transversely made through anterior or posterior fomix of the vagina, the uterus was exposed outside the incision with towel clips. The muscular layer covering the myoma was incised and the myoma was removed. Then the incisions of the uterus and vagina were closed respectively using 1 - Dexon absorbable sutures. Results The TVM was successfnlly completed in all 40 pa/ients. The snrgical time was 40 -70 min （60 ± 19 ） , blood amount loss during operation was 60 - 120 ml （ 100 ± 20） ,the length of hospital stay after operation was 5 days, the mean recovery time of bowel function was （ 17 ± 8） hours. A follow - up was carried out for 3 - 12 months （5 ± 2） in 35 patients. The symptoms such as menorrhagia,stimulation of urine were disappeared. No tumor was detected by B - uhrasonography. Conclusion Transvaginal myomectomy is a reliable procedure with little invasion,quick recovery and safety.
出处
《临床医学》
CAS
2007年第12期31-32,共2页
Clinical Medicine
