论文部分内容阅读
目的探讨保留血管及阴道穹窿的子宫肌瘤患者阴式筋膜内子宫切除术的临床价值。方法回顾性分析2003-10-2005-10镇江市丹徒区人民医院68例子宫肌瘤需切除子宫者保留双侧子宫动脉上、下行支及阴道穹窿的阴式筋膜内子宫切除术的临床资料。结果经阴道完成手术68例,手术时间45~84min,平均(65·6±13·6)min、术中失血80~350mL(192±5)mL、术后排气时间平均(20±5)h、术后病率4·41%(3/68)、术后3个月恢复性生活55例,患者满意度达90·91%(50/55)。结论保留血管及阴道穹窿的子宫肌瘤患者阴式筋膜内子宫切除术效果可靠、并发症少,适合临床推广。
Objective To investigate the clinical value of vaginal fascia hysterectomy in patients with uterine fibroids that retain blood vessels and vaginal fornixes. Methods A retrospective analysis of 68 cases of uterine fibroids in the Dantu District People’s Hospital, Zhenjiang City from October 2003 to October 2005 was performed. The patients underwent vaginal fascia hysterectomy with bilateral superior uterine artery on the descending branch and vaginal vault data. Results Vaginal surgery was performed in 68 cases. The operation time was 45-84 minutes (mean 65.6 ± 13.6 min), blood loss was 80-350 mL (192 ± 5) mL, and the mean duration of postoperative bleeding was (20 ± 5) h. The postoperative morbidity was 4.41% (3/68). After 3 months of follow - up, 55 patients were rehabilitated and their satisfaction rate was 90.91% (50/55). Conclusions Vaginal fascia hysterectomy, which preserves blood vessels and vaginal fornix, is reliable and has few complications and is suitable for clinical promotion.