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目的探讨60岁以上老年妇女进行阴式子宫切除手术的临床效果。方法对不同子宫大小、不同下腹部手术史的60例老年患者行阴式子宫切除术的临床资料进行回顾性分析。结果所有患者子宫全部经阴道成功切除,均未发生盆腔脏器损伤或中转开腹;手术时间36~121 min,平均53 min,术中出血50~216 ml,平均130 ml,术后发生并发症12例,占20%,以泌尿系感染、肺部感染、下肢静脉炎多见,经积极处理均痊愈出院。结论老年妇女经积极处理原发病可安全完成阴式手术。
Objective To investigate the clinical effect of vaginal hysterectomy in elderly women over the age of 60. Methods Sixty elderly patients with different uterine size and different lower abdominal operations underwent vaginal hysterectomy. The clinical data were retrospectively analyzed. Results All patients underwent transvaginal resection of the uterus. No pelvic organ injury or laparotomy were performed. The operative time ranged from 36 to 121 min (mean, 53 min), intraoperative bleeding ranged from 50 to 216 ml (mean, 130 ml), postoperative complication occurred 12 cases, accounting for 20%, with urinary tract infection, pulmonary infection, lower extremity phlebitis more common, were treated actively discharged were discharged. Conclusion Elderly women can safely complete the vaginal surgery after active treatment of the primary disease.