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目的探讨阴式子宫切除术治疗子宫疾病(主要包括子宫肌瘤、子宫脱垂和功能性子宫出血)的疗效与安全性。方法对180例良性子宫疾病(单纯性子宫脱垂30例,子宫脱垂并阴道前后壁膨出98例,功能性子宫出血5例,子宫肌瘤47例)施行阴式子宫切术患者的资料进行回顾性分析。结果180例患者均顺利完成了手术,无1例中转开腹行第2次手术,无1例盆腔脏器损伤,无尿潴留发生,手术时间(85±32)min,平均出血量(150±20)ml,平均住院时间5d。5例术后发热,7例术后半月阴道壁缝合线处粘稠血性分泌物,拆除线头后5d好转,术后12个月,随访其性生活全部满意。结论阴式子宫全切术在治疗子宫肌瘤(除巨大子宫肌瘤外),子宫脱垂、功能性子宫出血是安全可行的。
Objective To investigate the efficacy and safety of vaginal hysterectomy for the treatment of uterine diseases (mainly including uterine fibroids, uterine prolapse and functional uterine bleeding). Methods 180 cases of benign uterine disease (30 cases of simple uterine prolapse, uterine prolapse and vaginal anterior and posterior wall in 98 cases, 5 cases of functional uterine bleeding, uterine fibroids in 47 cases) performed vaginal hysterectomy patients Retrospective analysis. Results None of the 180 patients underwent the second surgery in the open laparotomy. No pelvic organ injury occurred and no urinary retention occurred. The operative time was (85 ± 32) min and the average amount of bleeding was (150 ± 20) ml, the average length of stay 5d. 5 cases of postoperative fever, 7 cases of postoperative vaginal wall sutures at half a month viscous bloody discharge, 5d after removal of the thread head improved after 12 months of follow-up all of their sexual life satisfaction. Conclusion Vaginal hysterectomy in the treatment of uterine fibroids (except giant uterine fibroids), uterine prolapse, functional uterine bleeding is safe and feasible.