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目的探讨经阴子宫肌瘤剔除术的可行性、优点及安全性。方法对40例子宫肌瘤患者行经阴子宫肌瘤剔除术。根据肌瘤位置选择切开阴道前穹窿或后穹窿,巾钳牵拉子宫并暴露于阴道,切开子宫浆肌层,剔除肌瘤,1-Dexon线缝合子宫浆肌层及阴道切口。结果40例经阴子宫肌瘤剔除术均获成功,手术时间40~70 min,平均(60±19)min,术中出血量为60~120 ml,平均(100±20)ml,术后均住院5 d,术后平均排气时间(17±8)h。35例随访3~12个月,平均(5±2)个月,术前月经过多及尿频、尿急症状均消失,B超检查未发现肌瘤。结论经阴子宫肌瘤剔除术具有创伤小,恢复快,安全可靠等优点。
Objective To investigate the feasibility, advantages and safety of transvaginal myomectomy. Methods 40 patients with uterine fibroids underwent myomectomy. According to the location of fibroids to choose incision vaginal fornix or posterior fornix, towel pliers pull the uterus and exposed to the vagina, cut the uterine myometrium, excluding fibroids, 1-Dexon suture uterine myometrial and vaginal incision. Results All the 40 cases underwent curative resection of vaginal myoma, the operation time was 40-70 minutes (mean, 60 ± 19) minutes, the blood loss was 60-120 ml (100 ± 20) ml, mean Hospitalization 5 d, postoperative average exhaust time (17 ± 8) h. 35 cases were followed up for 3 to 12 months, mean (5 ± 2) months, preoperative menorrhagia and urinary frequency, urinary symptoms disappeared, B-ultrasound found no fibroids. Conclusions Transvaginal myomectomy has the advantages of less trauma, faster recovery, safety and reliability.