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目的探讨经阴道手术治疗子宫疾病的可行性及安全性。方法对我院2008年3月至2010年3月108例子宫疾病经阴道手术病例进行分析。结果切除子宫最大750 g,肌瘤直径最大15cm。手术时间最长170 min,最短35 min,平均(92.3±25.6)min;术中出血50～700 ml,平均(120.0±36.3)ml,术后肛门排气时间最短8 h,最长25 h,术后病率12.6%,住院时间最短5 d,最长9 d,平均(7.2±1.6)d。手术成功率99.1%,中转开腹率0.9%。结论阴式子宫手术治疗妇科疾病具有微创和安全的特点,值得推广应用。
Objective To investigate the feasibility and safety of transvaginal surgery for uterine diseases. Methods In our hospital from March 2008 to March 2010 108 cases of uterine disease transvaginal surgery cases were analyzed. Results Excision of the uterus up to 750 g, fibroids up to 15cm in diameter. The longest operation time was 170 min, the shortest 35 min, the average was (92.3 ± 25.6) min; the intraoperative bleeding was 50 ~ 700 ml with an average of (120.0 ± 36.3) ml, the shortest anal exhaust time was 8 h, Postoperative disease rate was 12.6%, hospitalization time was the shortest 5 days, the longest 9 days, with an average of (7.2 ± 1.6) d. The success rate of surgery was 99.1%, and the rate of laparotomy was 0.9%. Conclusions Vaginal uterine surgery has the characteristics of minimally invasive and safe treatment of gynecological diseases and is worth popularizing and applying.