摘要
目的:探讨顺行式子宫切除手术(ATVH)的途径、方法及手术技巧。方法:经阴道前穹窿切开后,翻转子宫,缩小子宫,使子宫"前滚翻",然后与经腹切除子宫的顺序相同的方式切除子宫。故称之为"顺行式阴式子宫切除ATVH"。施行该手术主要应用三个自行设计制作的国家专利器械。结果:完成手术900例,2例因剖宫产的严重粘连改阴-腹联合手术,成功率99.8%。平均手术时间35 min,切除子宫小于20周妊娠,平均术后住院天数4.5 d,术中出血量130.58 mL。结论:顺行式阴式子宫切除手术是阴式手术的一个新的途径和方法,除具有传统阴式手术的优点外,还具有直观、简便、手术时间短等优点,是一个值得推广的阴式手术方式。
Objective: The aim is to research the way,method and skill of operation for the Anterograde transvaginal hysterectomy(ATVH).Methods:After incision through anterior fornix erogenous of the vagina,to overturn the uterus,to decrease the uterus,the make a forward roll for the uterus,and then remove the uterus as the same way to remove the uterus along belly.And as a result,it is called the direct motion ATVH.For the operation,there are mainly three national patent instruments to be used as the auger for vagina removement.Results:Nive hundred cases of operations were completed.But for 2 cases,as the severe conglutination from abdominal delivery,the transformation was made from this operation to the vagina and belly combination operation.The mission success rate is 99.8%.The average operation period lasts 35 minutes.The removement of the uterus is less than pregnancy of 20 weeks.The mean hospital stay is 4.5 days.The amount of bleeding in operation is 130.58 mL.Conclusion:The ATVH is a new way and a new method for shady operation.Saving the advantages of the traditional shady operations,there are many strong points such as direct viewing,simple and convenient,and a short time of operation,etc.And therefore it is worth to be popularized as a way of shady operation.
出处
《临床医药实践》
2008年第S3期738-740,共3页
Proceeding of Clinical Medicine
关键词
专利器械
翻转子宫
顺行式子宫切除
patent instrument
uterus overturning
anterograde transvaginal hysterectomy
