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目的:探讨阴式手术在基层医院妇科微创治疗中的应用价值及可行性。方法:回顾性分析我院于2003年1月～2009年12月对258例子宫、附件良性病变患者施行阴式手术的临床资料。结果:258例患者均顺利完成阴式手术,无一例盆腔脏器损伤,无一例中转开腹,术后无阴道残端/切口出血,术后活动及进食早、恢复快、术后平均住院时间5 d。结论:阴式手术对子宫、附件良性病变的治疗是微创、安全、有效、可行的,尤其适合腹腔镜手术设备、器械有限的基层医院开展,值得基层医院妇科微创治疗推广应用。
Objective: To explore the value and feasibility of vaginal surgery in gynecological minimally invasive treatment in primary hospitals. Methods: A retrospective analysis of our hospital from January 2003 to December 2009 in 258 cases of uterine fibroids, annex patients with benign lesions in the clinical data of vaginal surgery. Results: All of the 258 patients successfully completed the vaginal surgery without any pelvic organ injury. None of the patients underwent laparotomy and vaginal incision bleeding. The postoperative activities, early eating, fast recovery, average postoperative hospital stay 5 d. Conclusion: The treatment of benign lesions of uterus and appendix is minimally invasive, safe, effective and feasible. It is especially suitable for laparoscopic surgery equipment and limited primary hospitals. It is worthy of promotion and application of gynecological minimally invasive treatment in primary hospitals.