【摘要】 目的探讨经阴道子宫肌瘤剔除术(transvaginalmyom ectomy,TVM)的手术可行性及优点。方法2002年8月~2004年8月,对65例子宫肌瘤患者行经阴道子宫肌瘤剔除术。经阴道前穹隆或后穹隆做横切口进盆腔,丝线缝拉子宫使肌瘤暴露于阴道切口,于肌瘤部位切开肌层,剔除肌瘤,可吸收线分别缝合子宫及阴道切口。结果65例TVM均获成功,手术时间25~140 m in,(56±19)m in。术后出血量为60~650 m l,(170±45)m l。术后住院2~5 d。58例随访2~12个月,平均(3.6±2)月。月经恢复正常40例,月经量少于正常2例。毗邻器官的压迫症状消失,B超检查未发现残余肌瘤。结论TVM安全可靠,具有创伤小、恢复快等优点。更多还原

【Abstract】 Objective To explore the feasibility and advantages of transvaginal myomectomy(TVM).Methods A total of 65 patients with uterine myoma were treated with TVM from August 2002 to August 2004.The myomectomy was performed through a vaginal incision,which was transversely made through anterior or posterior fornix of the vagina.The uterus was exposed outside the incision with a pulling suture.The muscular layer covering the myoma was incised and the myoma was removed.Then the incisions of the uterus and vagina were closed respectively by using absorbable sutures.Results The TVM was successfully completed in all the 65 patients.The surgical time was 25~140 min(mean,56 ±19 min),the postoperative bleeding amount was 60~650 ml(mean,170±45 ml),and the length of hospital stay after operation,2~5 d.A follow-up was carried out for 2~12 months(mean,3.6±2 months) in 58 patients.The flow of menstrual cycle recovered to normal levels in 40 patients and was less than normal levels in 2 patients.Pressure symptoms of adjacent organs disappeared,and no residual tumors were detected on B-ultrasonography.Conclusions Transvaginal myomectomy is a safe and reliable procedure with little invasion and quick recovery.更多还原