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我院自1993年7月至1996年6月共施阴式子宫全切术104例,占同期子宫全切术的63.42%,试用评分法估计非脱垂子宫阴式切除的难易程度取得良好效果。我们体会阴式子宫切除术与腹式子宫切除术适应征基本相同,但较大子宫(≥12cm),阴道狭窄,子宫活动差,盆腔有粘连者以腹式手术为佳。本评分总分8分,临床实践5分以上即可经阴式手术。本术式具有手术时间短、住院时间短,腹腔无干扰、腹部无切口、创面小,恢复快等优点,无手术后并发症,是一种值得推广的术式。
Our hospital from July 1993 to June 1996 co-administered vaginal hysterectomy in 104 cases, accounting for 63.42% of hysterectomy in the same period, the trial score method to assess the difficulty of non-prolapsed uterus vaginal resection Achieve good results. We understand that vaginal hysterectomy and abdominal hysterectomy indications are basically the same, but the larger uterus (≥ 12cm), vaginal stenosis, poor uterine activity, pelvic adhesions were better abdominal surgery. The overall score of 8 points, more than 5 clinical practice can be vaginal surgery. This procedure has the advantages of short operation time, short hospital stay, no abdominal disruption, no incision in the abdomen, small wound, fast recovery, and no postoperative complications. It is a surgical technique worthy of promotion.