论文部分内容阅读
目的探讨经阴道剔除子宫肌瘤的可行性与安全性。方法对409例要求保留子宫的肌瘤患者,经阴道行子宫肌瘤剔除术。患者平均年龄30.9岁,术前检查肌瘤平均有1.9个,直径平均4.5cm,平均子宫10.5周孕大。结果309例患者均成功实施手术,成功率达100%。剔除肌瘤平均2.4个(1~6个),重102.5g(75~150g),手术时间30.5分钟(25~45分钟),平均出血量120.5ml(80~178ml),术后肠道功能恢复平均1.2天(1~2天),留置尿管24小时,阴道流液平均1.6天,体温恢复正常时间平均3.2天(1~5天),术后住院时间平均4.8天(3~6天)。结论适当的病例选择及灵活的手术技巧,经阴道剔除子宫肌瘤是安全可行的。
Objective To investigate the feasibility and safety of transvaginal uterine fibroids. Methods 409 cases of fibroids in patients with retention of the uterus, vaginal line myomectomy. The average age of patients was 30.9 years old, an average of 1.9 preoperative fibroids examination, an average diameter of 4.5cm, the average uterus pregnant 10.5 weeks. Results All the 309 patients were successful in operation, with a success rate of 100%. The average number of myomectomy was 2.4 (1-6), 102.5g (75-150g), operation time was 30.5 minutes (25-45 minutes), average bleeding volume was 120.5ml (80-178ml), postoperative intestinal function recovery Averaged 1.2 days (1-2 days), indwelling catheter 24 hours, vaginal fluid average 1.6 days, body temperature returned to normal for an average of 3.2 days (1-5 days), postoperative hospital stay for an average of 4.8 days (3-6 days) . Conclusion Appropriate choice of cases and flexible surgical techniques, vaginal elimination of uterine fibroids is safe and feasible.