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目的探讨子宫肌瘤经阴道剔除术的安全性、可行性及临床效果。方法对20例子宫肌瘤行经阴道子宫肌瘤剔除术。观察其手术时间、术中出血、术后疼痛、肛门排气时间、术后病率及术后住院时间。结果20例经阴道行子宫肌瘤剔除术者均获得满意效果。手术时间平均(58±16)min,术中出血平均(71±17)ml,术后无一例需要镇痛,术后病率为零,术后肛门排气时间平均(32±4)h,术后住院时间(4±0.7)d。原有症状消失,复查B超未发现子宫肌瘤。结论经阴道子宫肌瘤剔除术安全可靠,具有创伤少、术后恢复快、腹部无瘢痕、费用低等优点,只要正确掌握手术适应证,值得临床推广。
Objective To investigate the safety, feasibility and clinical effect of transvaginal uterine fibroids. Methods Twenty cases of uterine fibroids were treated with transvaginal uterine fibroids. Observe the operation time, intraoperative bleeding, postoperative pain, anal exhaust time, postoperative disease rate and postoperative hospital stay. Results Twenty patients who underwent uterine myomectomy by vaginal surgery had satisfactory results. The average operation time was (58±16) minutes, and the mean intraoperative blood loss was (71±17) ml. No postoperative analgesia was required after surgery. The postoperative morbidity was zero and the postoperative anal ventilation time was (32±4) h. Postoperative hospital stay (4 ± 0.7) d. The original symptoms disappeared, and no uterine fibroids were found after the review of B ultrasound. [Conclusion] Transvaginal myomectomy is safe and reliable. It has the advantages of less trauma, rapid postoperative recovery, no scar on the abdomen, low cost, etc. As long as the surgical indications are correctly mastered, it is worthy of clinical promotion.