阴式子宫手术治疗妇科疾病的临床价值

Clinical value of transvaginal hysterectomy in gynopathy

目的探讨经阴道手术治疗子宫疾病的可行性及安全性。方法对我院2000年3月—2008年3月108例子宫疾病经阴道手术病例进行回顾性分析。结果切除子宫最大1000g，肌瘤直径最大13cm。手术时间最长170min，最短35min，平均（92．3±25．6）min；术中出血50—700ml，平均（120．0±36．3）ml，术后肛门排气时间最短9h，最长27h，术后病率12．6％，住院时间最短5天，最长9天，平均（7．2±1．6）天。手术成功率99．1％，中转开腹率0．9％。结论阴式子宫手术治疗妇科疾病具有微创和安全的特点，值得推广应用。

Objective To investigate the feasibility and safety of transvaginal hysterectomy （TVH） in the treatment of uterine diseases. Methods 108 cases of TVH admitted from Jan. 2000 to Mar. 2008 were analyzed retrospectively. Results The biggest incised uterus weighed 1 000 g and the diameter of the biggest uterine myoma was 13 cm. The surgical duration ranged from 35 to 170 min [ mean = （92.3± 25.6） mini ; amount of blood loss during operation was 50 - 700 ml [ mean = （ 120.0 ±36.3） ml]. The earliest time of anal exsufflation was 9 h after operation and the last was 27 h. The postoperative morbidity was 12.6%. The hospital stay ranged from 5 d to 9 d [ mean = （7.2 ± 1.6 ） d 1. The rate of success was 99.1%, the ratio of transfer to paunch was 0.9%. Conclusion TVH is characterized by micro - trauma and safety in the treatment of gynecological diseases and is worthy of generalization.