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目的 探讨经阴道子宫肌瘤剔除的可行性及优越性。方法 对 5 8例要求保留子宫的子宫肌瘤患者在全麻或硬膜外麻醉下实施经阴道子宫肌瘤剔除术。观察手术适应证、术中并发症、手术时间、术中出血量、术后病率、并发症及住院时间等。结果 5 7例(98 3% )手术成功 ,无中转开腹。平均手术时间 :4 8 1 6min ;平均出血量 :70 5 8ml;术后病率 :3 4 % (2例 )。术后并发症 :1 7% (1例 ) ,系子宫切口感染。平均体温正常时间 :1 8天。平均排气时间 :1 3天。平均住院时间 :4 9天。术后随诊 :4例肌瘤复发 ,复发率为 7 0 %。结论 经阴道子宫肌瘤剔除术对腹腔骚扰小 ,术后恢复较快 ,腹壁不留疤痕
Objective To investigate the feasibility and superiority of vaginal myomectomy. Methods Fifty-eight patients with uterine fibroids who wanted uterine preservation underwent vaginal myomectomy under general anesthesia or epidural anesthesia. Observe surgical indications, intraoperative complications, operation time, intraoperative blood loss, postoperative morbidity, complications and hospital stay. Results Fifty-seven patients (98.3%) were successful in surgery and had no laparotomy. The mean operative time was 481 6 minutes. The average amount of bleeding was 70 58ml. The postoperative morbidity was 34% (2 cases). Postoperative complications: 17% (1 case), Department of uterine incision infection. Average body temperature normal time: 18 days. Average exhaust time: 13 days. Average length of stay: 49 days. Postoperative follow-up: 4 cases of fibroids recurrence, the recurrence rate was 70%. Conclusion Transvaginal myomectomy excluding intraperitoneal harassment, postoperative recovery faster, leaving no scar in the abdominal wall