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目的探讨经阴道子宫肌瘤剔除术的手术方法及可行性。方法对行阴式子宫肌瘤切除术患者50例进行回顾性分析。结果 50例患者中,手术均获成功,无1例中转开腹及周围脏器损伤。手术时间(90±30)min;术中出血量(130±30)ml;术后肛门排气时间(18.50±6.25)h,无明显腹胀;术后住院时间(5±2)d。结论阴式子宫切除术具有体表不留瘢痕、手术创伤小、肠道干扰少、术后疼痛轻、患者康复快、住院时间短等优点。
Objective To investigate the surgical methods and feasibility of vaginal myomectomy. Methods Fifty patients underwent vaginal myomectomy were retrospectively analyzed. Results Of the 50 patients, the operation was successful, none of the patients were converted to laparotomy and the damage of the surrounding organs. The operation time (90 ± 30) min, intraoperative blood loss (130 ± 30) ml, postoperative anal exhaust time (18.50 ± 6.25) h, no obvious abdominal distension, postoperative hospital stay (5 ± 2) days. Conclusions Vaginal hysterectomy has the advantages of not leaving scars on the body surface, less trauma, less intestinal disturbance, less postoperative pain, faster rehabilitation and shorter hospital stay.