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为探讨非脱垂子宫经阴道切除不同术式的临床应用价值 ,对 1997年 1月～ 1999年 10月住院有子宫切除指征而无生殖道脱垂 72例患者 ,根据年龄、子宫大小分别行阴式筋膜内子宫切除术 60例和改良阴式子宫切除术 12例 ,平均年龄 50岁 ( 42～ 65岁 )。其中子宫肌瘤 59例 ( 81.94 % ) ,子宫腺肌瘤 8例 ( 11.11% ) ,功血 3例 ( 4.17% ) ,卵巢囊肿 1例 ( 1.39% ) ,慢性宫颈炎 1例 ( 1.39% ) ;子宫活动良好、子宫正常大小 5例 ( 6.94 % ) ,子宫增大 <孕 12周 57例 ( 79.17% ) ,子宫增大 12～ 18周 10例 ( 13 .89% ) ;既往有结扎手术史 8例 ,同时行附件切除 5例。结果显示 :平均手术时间 70min( 60～90min) ,平均出血量 90ml( 80～ 150ml) ,术后 2 0～ 30h肛门排气 ,2 4h下床活动 ,平均住院 7天出院 ( 5～ 8天 )。认为根据患者年龄及子宫大小选择术式 ,微损伤 ,不影响性生活 ,可提高阴式子宫切除的比率
In order to investigate the clinical value of different surgical procedures for non-prolapsed uterus vaginal resection, 72 patients with hysterectomy indications without genital tract prolapse in hospital from January 1997 to October 1999 were divided according to age and uterine size Sixty cases of vaginal fascia hysterectomy and modified vaginal hysterectomy in 12 cases, mean age 50 years (42-65 years old). There were 59 cases (81.94%) of uterine fibroids, 8 cases (11.11%) of adenomyoma, 3 cases of dysfunctional uterine bleeding (4.17%), 1 case of ovarian cyst (1.39%) and 1 case of chronic cervicitis (1.39%). 5 cases (6.94%) had normal uterine enlargement, 57 cases (79.17%) had uterus enlargement in 12 weeks and 10 cases (13.89%) enlarged uterus from 12 to 18 weeks. There was a history of ligation Cases, at the same time line attachment removal in 5 cases. The results showed that the average operation time was 70min (60-90min), the mean bleeding volume was 90ml (80-150ml), the anus was excreted after 20-30h, the activity was released after 24 hours, the average hospital discharge was 7 days (5-8 days) . That according to the patient’s age and size of the uterus choose surgery, micro-injury, does not affect sexual life, can improve the ratio of vaginal hysterectomy