【摘要】 目的 :探讨经阴道子宫全切除术的手术方法、临床效果及其适应证。方法 :回顾性分析研究 2 0 3例经阴道子宫全切除术的临床资料。结果 :2 0 3例经阴道子宫全切除术 2 0 2例成功 ,1例因手术困难改经腹进路 ,成功率 99.5 % ;发生并发症 3例(1.5 % ) ,无死亡病例。术后随访 1～ 16个月 ,平均 13.1个月 ,无远期并发症出现 ;平均术后住院时间 7.9d ;平均手术时间 6 2 .3min ;平均失血量 16 4ml。结论 :经阴道子宫全切除术是安全、有效、创伤较小、病人乐于接受的子宫切除手术进路 ,操作易于掌握 ,所需器械简单 ,适于推广应用 ;可以大部分取代经腹进路行子宫全切除术 ,只有在盆腔广泛粘连、恶性妇科肿瘤、未育妇女才需经腹途径。更多还原

【Abstract】 Objective: To analyse the method, the effect and the indication of vaginal hysterotomy. Methods: The data of 203 patients carried out vaginal hysterotomy were analyzed retrospectively. Results: 202 patients achieved success in 203 cases, the success rate is 99.5%. Only 3 cases emerged complication, the complication rate is 1.5% and no death case. The patients have been followed up 1～16 months with a mean time of 13.1 months and no long-term complications were found. The mean hospitalized period after operation, operation time and the bleed volume is 7.9 days, 62.3 minutes and 164ml respectively. Conclusion:Vaginal hysterotomy is a safe, effective and mini-wound operation. Because of its simple equipment and convenient manipulation, the operation method should be popularized as a major way instead of traditional abdominohysterectomy in patients except the pelvic adhesion, malignant tumor and unparous women.更多还原