较大的子宫粘膜下肌瘤如脱出在宫颈口外,一般采用经阴道结扎肌瘤蒂部之后予以切除。有些病例因肌瘤较大,蒂部粗,嵌塞在阴道内,无法缝合结扎,不得已也采用经腹切除子宫手术治疗,但对尚需保存生育能力的妇女不能采用此种方法。我们针对这种情况采用了经阴道摘除大型脱出在宫颈口外的粘膜下肌瘤的新方法,效果良好,兹介绍如下。手术方法:用外径5毫米,长1～2厘米的铜管3～4个,以10号医用缝合线双股折迭穿入铜管内,一端形成一环形线圈(图1)。用手指或节育环叉将线圈送入阴道套住肌瘤蒂部,然后将铜管向蒂部推动,收紧线圈,并用血管钳夹在最后一个铜管下端固定丝线(图2、3)。以后每天将铜管向上推移一次并收紧套在蒂部上的线圈,重新用血管钳固定,连续三四 Larger uterine fibroids, such as prolapse in the cervix outside the mouth, the general use of vaginal ligation of fibroids pedicle to be removed. Some cases due to larger fibroids, peduncles thick, impacted in the vagina, can not be sutured, the last resort of transabdominal hysterectomy surgery, but still need to save fertility women can not use this method. In view of this situation, we have adopted a new method of transvaginal removal of large submucosal fibroids outside the cervix, with good results. Here is a brief introduction. Surgical methods: with an outer diameter of 5 mm, 1 to 2 cm long copper tube 3 to 4, No. 10 medical suture folded into the double-folded copper tube, one end of a loop coil (Figure 1). Fold the coil into the vagina with a finger or an IVF to cover the pedicle. Then push the brass tube toward the pedicle, tighten the coil, and secure the wire with the vascular clamp at the bottom of the last copper tube (Figures 2 and 3). After every day to push the copper tube up and tighten once again in the pedicle on the coil, re-use of vascular forceps, for three consecutive four