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保留子宫的经阴道子宫肌瘤切除术及保留子宫的经阴道卵巢肿瘤手术报道较少,现将我院开展的11例保留子宫的经阴道子宫肌瘤切除术及附件手术报道如下。1资料与方法1.1临床资料2000年1月至2002年4月我院妇科施行保留子宫的经阴道子宫肌瘤切除术及附件手术共11例,占同期阴式手术的2.74％。平均年龄35.4岁(28—47岁),平均产次为1.1次(0～2次)。病理类型:子宫平滑肌瘤5例,卵巢浆液性囊腺瘤3例,卵巢畸胎瘤2例,卵巢纤维瘤1例。病例选择标准:(1)子宫肌瘤或卵巢良性肿瘤有手术指征且要求保留子宫者;(2)浆膜下或肌壁间子宫肌瘤,肌瘤结节直径不超过10cm;卵巢肿物直径不超过9cm;(3)卵巢肿瘤患者常规进行B超及多项肿瘤标记物检测,初步排除恶性病变;(4)子宫及卵巢肿瘤活动度好,病史及检查估计盆腔无粘连。
Uterine retention of the vaginal myomectomy and retained the uterus transvaginal ovarian tumor surgery less reported now in our hospital to retain 11 cases of uterine vaginal myomectomy and attachment surgery reported as follows. 1 Materials and Methods 1.1 Clinical data January 2000 to April 2002 in our hospital gynecological operation to retain the uterus vaginal myomectomy and attachment surgery a total of 11 cases, accounting for 2.74% of the same period negative surgery. The average age was 35.4 years (28-47 years) with an average of 1.1 times (0 ~ 2 times). Pathological types: 5 cases of uterine leiomyoma, 3 cases of ovarian serous cystadenoma, ovarian teratoma in 2 cases, 1 case of ovarian fibroma. Case selection criteria: (1) uterine fibroids or benign ovarian tumors have indications for surgery and require retention of the uterus; (2) subserosal or intramural uterine fibroids, fibroids nodules no more than 10cm in diameter; ovarian tumor Diameter of not more than 9cm; (3) ovarian cancer patients routine B ultrasound and a number of tumor markers detected initially ruled out malignant lesions; (4) uterine and ovarian tumor activity is good, history and examination of pelvic adhesions.