论文部分内容阅读
经阴道子宫切除术(transvaginal hysterectomy,TVH)因不作腹壁切口,腹腔脏器干扰少,创伤小,术后疼痛轻,恢复快,为患者乐于接受。但因手术术野小,操作较困难,我国长期以来经阴子宫切除术多局限于子宫脱垂的小子宫患者。我院自1997年对子宫增大8～15孕周的36例患者实施了改良式经阴道子宫切除术,取得满意效果,报道如下。 1 一般资料 自1997年7月～1999年6月,共施行大子宫改变TVH36例,平均年龄43.6岁。其中子宫肌瘤30例,子宫腺肌病6例,1例合并卵巢巧克力囊肿与子宫周围粘连。16例有下腹部手术史,输卵管结扎术8例,剖宫产2例,阑尾切除术3例,单侧卵巢囊
Transvaginal hysterectomy (transvaginal hysterectomy, TVH) due to abdominal incision, abdominal organs less interference, less trauma, postoperative pain and rapid recovery for patients willing to accept. However, due to small surgical field, the operation is more difficult, our long-term hysterectomy and more confined to uterine prolapse in small uterine patients. Our hospital since 1997, uterus increased 8 to 15 gestational weeks in 36 patients with modified vaginal hysterectomy, and achieved satisfactory results reported below. 1 General information from July 1997 ~ June 1999, a total of 36 cases of large uterine changes TVH, the average age of 43.6 years old. Including 30 cases of uterine fibroids, adenomyosis in 6 cases, 1 case of ovarian chocolate cysts and uterine adhesions. 16 cases of lower abdominal surgery history, tubal ligation in 8 cases, 2 cases of cesarean section, appendectomy in 3 cases, unilateral ovarian cysts