阴式子宫切除术的再评价及手术要点

Transvaginal hysterectomy:re-evaluation and key points of operation

子宫切除术是治疗妇科良性疾病最基本及常见的手术,其中阴式子宫切除术是最早施行的术式,子宫切除的最佳路径一直是广泛探讨的课题。文章简述了阴式子宫切除术的历史发展,概括了阴式子宫切除术的术式优势及重新评价,手术适应证及拓展,具体手术技巧要点以利于更好地掌握该项技术,分析和探讨了阴式子宫手术的常见并发症及防治措施。阴式子宫切除术在治疗妇科良性疾病方面有其安全性和可行性。但需要在阴式手术具体手术技巧的基础训练方面多加培训,以利于更多的妇科医生掌握该项微创技术。

Hysterectomy is the most basic and common operation for the treatment of gynecological benign diseases,among which vaginal hysterectomy is the earliest operation,and the best path of hysterectomy has been widely discussed.This paper briefly describes the historical development of vaginal hysterectomy,summarizes the advantages and re-evaluation and surgical indications and expansion of vaginal hysterectomy,and the key points of specific surgical techniques in order to better master the technique,and analyzes and discusses the common complications of vaginal hysterectomy and the prevention and treatment measures.Vaginal hysterectomy has its safety and feasibility in the treatment of gynecological benign diseases.However,more training is needed in the basic training of specific surgical techniques of vaginal surgery so that more gynecologists can master this minimally invasive technique.