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目的 探讨非脱垂子宫经阴道切除术(transvaginal hysterectomy,TVH)临床应用的可行性和安全性.方法 回顾2005年5月至2008年5月42例子宫增大如8～14孕周非脱垂子宫患者行TVH治疗临床资料,采用子宫对半切开、肌瘤剔除及粉碎相结合的方式减小子宫体积.结果 42例手术均顺利,无中转开腹,手术时间平均82 min,术中出血平均150 ml,无膀胱、直肠、输尿管损伤及大出血等并发症,术后恢复时间明显缩短.结论 非脱垂子宫TVH具有手术时间短、出血量少、恢复快、住院时间短及无腹部瘢痕等优点,安全可行,术式选择应结合患者情况,遵循个体化原则.“,”Objective To investigate the cLinical efficacy and value of the transvaginal resection of non - prolapsed uterous, Methods A retrospective analysis was carried out in clinical data of 42 non - prolapsed uteros cases with hysterauxesis(as 8 - 14 gestational weeks) by transvaginal resection from May 2005 to May 2008. Methods of uterus half resection,museular tumor rejection combined shatter were given to decrease the uterus volum. Results All the 42 patients were operated successfully and no abdominal hysterectomy were need. Average operative time was 82 min,average blood loss was 150 ml. No eompLications such as injury of bladder, rectum and ureteral injury, and hemorrhoea occurred. Postoperative recover time decreased markedly. Conclusions With short operation time, small blood loss, quick recover time, short hospitalization time and no sear in abdomen, transvaginal hysterectomy has obvious advantages, and is a safe and feasible minimally invasive surgery.