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目的讨论阴式非脱垂较大子宫切除术的方式及可行性。方法我院自2005年3月至2007年12月对18例子宫增大如8～12孕周,活动,估计无粘连的子宫肌瘤及功能失调性子宫出血患者行阴式子宫切除术。采用子宫对半切开、肌瘤剔除及粉碎相结合的方式减小子宫体积。结果18例阴式子宫切除手术均成功,手术成功率100%,估计失血量平均350 ml,平均手术时间70 min,术后住院时间平均为5.3 d。结论阴式较大子宫切除术是可行和安全的手术,手术是否成功与子宫活动度、术者经验、技术等有关。
Objective To discuss the way and feasibility of vaginal non-prolapsed major hysterectomy. Methods In our hospital from March 2005 to December 2007, 18 cases of uterine enlargement such as 8 to 12 gestational weeks, activities, estimated that no adhesion of uterine fibroids and dysfunctional uterine bleeding patients underwent vaginal hysterectomy. Uterine half-cut, myomectomy and smash the combination of ways to reduce the uterine volume. Results 18 cases of vaginal hysterectomy were successful, the success rate of 100%, an estimated blood loss of 350 ml, the average operation time was 70 min, the average postoperative hospital stay was 5.3 d. Conclusion Vaginal hysterectomy is feasible and safe operation, the success of surgery and uterine activity, the surgeon’s experience, technology and so on.