摘要
目的探讨改良阴式子宫切除术的临床效果。方法对24例子宫脱垂和子宫增大如6-12孕周内、活动、估计无粘连的子宫肌瘤,行改良筋膜内阴式子宫切除术。结果23例成功完成改良阴式子宫切除术,1例子宫肌瘤合并子宫内膜异位症、粘连严重转开腹手术。平均子宫重量为267.5（45-490）g,手术时间平均95（60-150）min,术中失血量平均150（50-400）ml。无明显并发症,术后平均3.3（1-7）d体温恢复正常。结论改良阴式子宫切除术克服了传统阴式子宫切除术的缺点,安全、有效,值得推广。
Objective To explore the effect of modified intrafascial vaginal hysterectomy. Methods 24 cases with uterine prolapse and hysteromyoma were performed modified intrafaseial vaginal hysterectomy. The uterine was mobile with no adhesion and size of 6 - 12 weeks pregnancy by estimation. Results 23 cases were accomplished the vaginal hysterectomy successfully, but 1 case of hysteromyoma and endometriosis conversed to open surgery due to severe adhesion. The average weight of uterus was 267.5 g （ range from 45 to 490 g） , the mean operative time was 95 minutes （range from 60 to 150 minutes） , and the average blood loss was 150 ml （range from 50 to 400 ml）. No serious complication was found. The temperature recovered in 1 to 7 days （ average 3.3 days）. Condusion The modified intrafascial vaginal hysterectomy is a safe and effective operation, and worthy to be popularized.
出处
《中国现代手术学杂志》
2009年第5期372-373,共2页
Chinese Journal of Modern Operative Surgery
