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目的就阴式子宫切除术进行临床治疗分析。方法选取2011年8月至2013年8月我院收治的阴式子宫切除术患者32例,都采取阴式子宫切除术式来进行治疗。4例患者为加附件手术(1例患者为一侧输卵管切除,1例患者为一侧附件切除,1例患者为双附件切除,1例患者为卵巢囊肿剥除),3例患者为阴道前壁修补术+阴式子宫切除术,25例患者为单纯阴式子宫切除术。结果本组32例患者无1例改开腹手术,阴式手术均成功,子宫体积最大为1440cm3,最小为115cm3,平均为455cm3。手术中最大出血量为400ml,最小为80ml,平均为174ml。手术时间最长为170min,最短为40min,平均为87min。结论阴式子宫切除术具有术后疼痛轻、手术创伤小、体表不留疤痕、无腹壁切口、住院时间短、术后患者恢复快等优点而广泛应用于临床中,且许多医院还在不断进行术式改良,值得大力推广。
Objective To analyze the clinical treatment of vaginal hysterectomy. Methods 32 cases of vaginal hysterectomy admitted from August 2011 to August 2013 in our hospital were treated by vaginal hysterectomy. Four patients underwent adjuvant surgery (one patient had a salpingo-oophorectomy, one patient had one accessory attachment removed, and one patient had a double attachment excision and one patient had an ovarian cyst). Three patients had vaginal pre-vaginal Wall repair + vaginal hysterectomy, 25 patients were simple vaginal hysterectomy. Results In the 32 patients, none of them changed to open surgery. The vaginal surgery was successful. The maximum uterine volume was 1440cm3 and the minimum was 115cm3 with an average of 455cm3. The maximum amount of bleeding surgery was 400ml, a minimum of 80ml, with an average of 174ml. The longest operation time was 170min, the shortest was 40min, with an average of 87min. Conclusion Vaginal hysterectomy is widely used in clinic because of its advantages of less postoperative pain, less trauma, no scars on the body surface, no abdominal incision, short hospital stay and rapid postoperative recovery. Many hospitals are still in continuous use For surgical improvements, it is worth promoting.