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目的:探讨大子宫阴式子宫切除方法的可行性、安全性及近、远期并发症的发生原因。方法:选择我科2004-04/2007-04收治的13例子宫增大在6~10周合并子宫脱垂、活动、估计无粘连的子宫肌瘤、腺肌瘤患者行阴式子宫切除术(TVH)。结果:13例经阴道手术成功。结论:大子宫阴式切除相对安全,但手术难度相应增加,注意对手术近期、远期并发症的防治,如粘连严重不宜勉强行阴式手术,对子宫腺肌症慎重选用阴式手术。
Objective: To explore the feasibility and safety of vaginal hysterectomy in the large uterus and the reasons for the occurrence of short-term and long-term complications. Methods: Select our department from 2004-04 / 2007-04 13 cases of uterine enlargement in the 6 to 10 weeks with uterine prolapse, activity, it is estimated that no adhesion of uterine fibroids, adenomyosis patients underwent vaginal hysterectomy ( TVH). Results: 13 cases of vaginal surgery was successful. Conclusion: The vaginal resection of the large uterus is relatively safe, but the operation difficulty increases accordingly. Attention should be paid to the prevention and treatment of recent and long-term complications such as severe adhesions and vaginal surgery.