腹式全子宫切除术阴道残端缝合方法的改进

Modification of the Vaginal Stump Suture during Total Abdominal Hysterectomy

介绍一种全子宫切除后阴道残端缝合方法。采用 2层缝合法 :先外翻缝合阴道粘膜边缘 ,再内翻缝合阴道顶端肌层创面。与传统单层外翻缝合法相比 ,该缝合法的阴道残端愈合不良率、感染率及残端肉芽发生率均明显降低 。

The modification of the vaginal stump suture during total abdominal hysterectomy was introduced in this article. The vaginal stump was sutured in two layers, including the everting suture of the vaginal mucosal margin, and the inverting suture of the capular muscular layer. Compared with the monolayer suture, the modified method is more suitable to popularize for decreasing the incidence of unhealing ,infection and granulation of the vaginal stump.