摘要
目的探讨阴式子宫切除术（transvaginal hysterectomy，TVH）的优点、适应证、手术要点及临床应用价值。方法自2002年1月至2007年12月，对250例因妇科良性病变且有子宫切除指征而无盆腔器官脱垂的患者行TvH。术前子宫大小正常者10例（4％），子宫〉12周大小者（12周～14周）35例（14％），子宫增大但≤12周大小者205例（82％）。同时行附件切除5例（2％），既往有手术史者15例（6％）。结果手术时间50min～130rain，平均70min；出血量50ml-150ml；住院时间3d-7d，平均4d；术后止痛药使用次数0～1次，仅2例术后残端出现小血肿，经保守治疗后痊愈。结论手术时间短、出血量少、腹部无瘢痕，切口疼痛轻、康复迅速。对子宫〉12周大小，输卵管、卵巢有良性病变以及既往有盆腔手术史者，并非TVH的绝对禁忌证。
Objective To assess the advantage, indications, operative key points and the clinical value of transvaginal hysterec- tomy in patients without pelvic organs proplapse. Methods From Jan. 2002 to Dec. 2007,250 women undergone transvaginal hyster- ectomy for various benign gynecological lesions were consecutively included in this study. There were 10 patients（4% ） with normal uterine size, 35 patients（14%） with uteri of 〉 12 gestational weeks （12w-16w） and the remaining 205 patients（82%） ≤12 week-size. 5 patients （2%） underwent salpingo - oophorectomy simultaneously, 15patients （6%） had operation history. Results The mean operation time was 70min with a range 50min-130min. Hospitalization time was 4 days （3d-7d）. The amount of blood loss during operation ranged 50ml-150ml. The only postoperative compolication was small residue hematoma in 2 cases that cured with conservative treatment. Conclusion It was remarkable advantages such as fewer complication, less discomfort, quicker recovery and less expenses of transvaginal hysterectomy and it could short operation time and hospitalization time. It should no longer be considered as absolute contraindication of transvaginal hysterectomy of patients with benign adnexal mass, operation history of pelvic cavity and the size of uterus 〉 12 wceksize.
出处
《中国计划生育和妇产科》
2009年第3期48-50,共3页
Chinese Journal of Family Planning & Gynecotokology
关键词
阴式子宫切除
妇科良性病变
transvaginal hysterectomy
gynecologic beingn lesions
