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目的:探讨非脱垂子宫阴式子宫全切术的临床应用效果。方法:134例非脱垂子宫采用阴式全子宫切除术,其中单纯全子宫切除118例,腹腔镜辅助下阴式子宫切除术14例,切除子宫最大者为约孕20周子宫大小。结果:133例患者均成功经阴道手术,1例中转开腹,1例膀胱损伤,当时发现修补,无直肠损伤,平均手术时间约为90分钟,手术中出血量平均为100ml,所有患者均于手术后24小时拔出尿管,自行排尿;术后24小时肛门排气,进食,自行下床活动;术后5～6天出院,术后复查阴道残端愈合良好。结论:非脱垂子宫阴式全切术具有损伤小,出血少,腹部不留瘢痕,术后恢复快,住院时间短等优点,符合微创原则。不需使用昂贵的医疗器械,适合所有医院开展,值得临床大力推广。
Objective: To investigate the clinical effect of non-prolapsed uterus vaginal hysterectomy. Methods: 134 cases of non-prolapsed uterus with vaginal hysterectomy, including simple hysterectomy in 118 cases, laparoscopic assisted vaginal hysterectomy in 14 cases, the largest resection of the uterus was about 20 weeks pregnant uterine size. Results: All 133 patients underwent transvaginal surgery, 1 patient underwent laparotomy, 1 bladder injury, repaired at the time, and had no rectal injury. The average operation time was about 90 minutes. The mean amount of bleeding during operation was 100 ml. All patients were on 24 hours after surgery, pull out the catheter, urinate on their own; 24 hours after the anal exhaust, eating, get out of bed activities; 5 to 6 days after discharge, postoperative vaginal stump healed well. Conclusion: Non-prolapsed uterus vaginal total hysterectomy has the advantages of less injury, less bleeding, no scar in the abdomen, fast recovery after surgery, short hospital stay, in line with the principle of minimally invasive surgery. Do not need to use expensive medical equipment, suitable for all hospitals to carry out, it is worth clinical promotion.