经阴道子宫切除加附件切除术的临床探讨

Clinical Study in Vaginal Hysterectomy and Salpingo-oophorectomy

目的为了探讨经阴道子宫切除加附件切除术方法的安全性、可行性及临床价值。方法对2004年3月～2005年8月在本院行经阴道子宫切除加附件切除术的患者进行分析、总结。结果经阴道子宫附件切除术后至今已行阴式全宫切除加双附件切除4例、阴式全宫切除加双侧输卵管切除、部分切除2例、阴式全宫切除加单侧输卵管切除2例、卵巢良性小囊瘤剥出5例。患者均取得满意效果,无1例出现并发症,无1例出现邻近组织及器官损伤。结论阴式手术具有手术时间短,创伤小,对腹腔脏器干扰小,术后疼痛轻微、康复快、住院时间短、腹壁不留瘢痕、医疗费用低等优点,充分体现了微创的观念,是安全有效的手术,值得普及和推广。

Objective To explore the the safety,feasibility and clinical value of the vaginal hysterectomy and sal- pingo-oophorectomy.Methods The patients who were enrolled between march 2004 to August 2005 with vaginal hysterec- tomy and salpingo-oophorectomy were summary and analysis.Results Among those patients,four cases experienced vagi- nal hysterectomy and salpingo-oophorectomy;twe cases experienced vaginal hysterectomy with whole tubal resection or par- tial tubal resection;twe cases experienced vaginal hysterectomy with half tubal resection;five cases experienced vaginal hys- terectomy with decollement ovaries innocence small kystoma.The effectiveness was content for patients,no one case occur- rented complication or damage vicinitic organ.Conclusion The vaginal surgery appears to be short-time operation,micr- wound,little baffle for the abdominal organ,light pain and faster recovery after operation,short-time length of stay,no cicatricle keeped in abdominal wall and low medical cost for patients,it is show the concept of smaller incision thoroughly,so so it deserves to be widely popularized and spreaded.