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目的探讨阴式全子宫切除术(transvaginal hysterectomy,TVH)术后近远期并发症的防治方法。方法对230例阴式全子宫切除术患者的临床资料进行回顾性分析。结果术后常见的近期并发症为残端出血,尿路感染,下肢深部静脉血栓形成。远期并发症为阴道残端炎性息肉,围绝经症状,阴道穹窿脱垂及残留卵巢综合征。结论行阴式全子宫切除术应严格掌握手术指征,规范操作,谨防各种近远期并发症的发生。
Objective To investigate the prevention and treatment of short-term and long-term complications after transvaginal hysterectomy (TVH). Methods The clinical data of 230 cases of vaginal hysterectomy were analyzed retrospectively. Results Common postoperative complications were residual stump bleeding, urinary tract infection and deep venous thrombosis of lower extremity. Long-term complications of vaginal residual inflammatory polyps, perimenopausal symptoms, vaginal vault prolapse and residual ovarian syndrome. Conclusion Vaginal hysterectomy should be strictly controlled by surgical indications, standardized operation, to guard against the occurrence of various short-term and long-term complications.