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阴式全宫切除术新适应证的探讨 被引量:2

Study on new indication for vaginal complete hysterectomy
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摘要 目的 :探讨扩大阴式全宫切除术的适应证。方法 :对 1 2 3例不同适应证的患者行阴式全宫切除术。结果 :阴式全宫切除术占全宫切除术的比例达 86 .1 % ;脱垂子宫与非脱垂子宫之间、<1 2孕周子宫与≥ 1 2孕周子宫之间及有无盆腔手术史之间在手术时间、术中出血量、肛门排气时间、体温恢复正常时间、术后病率及术后下床活动时间等方面差异无显著性意义 ;结扎与不结扎骶、主韧带在手术时间上有显著性差异 ,而术中出血量无显著性差异。结论 :对一些非脱垂性子宫、大子宫。 Objective:To explore the indication of vaginal complete hysterectomy.Methods:123 cases of vaginal complete hysterectomy,who were operated in our hospital were analyzed.Results:vaginal complete hysterectomy account for 86.1% of all type hysterectomy.The operation time,amount of bleeding,anus exhaust time,temperature recovery time,rate of complication and active time after operation showed no significant difference between hysteroptosis and non hysteroptosis,less than 12 weeks of pregnancy uterus and large than 12 weeks of pregnancy uterus,and the history with or without pelvic cavity operation.The operation time was significant different,but the bleeding amount was not significant different between with and without the ligament ligation.Conclusion:The vaginal hysterectomy may be carried out for the patients,who having non hysteroptosis,large uterus and the history of pelvic cavity operation.
出处 《华夏医学》 2004年第3期301-303,共3页 Acta Medicinae Sinica
基金 桂林市科技三项计划项目 (编号 :2 0 0 2 0 43 5 )
关键词 子宫 经阴道子宫切除 适应证 uterus vaginal hysterectomy indication
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参考文献5

  • 1[1]Porges RF. Changing indiciation for vaginal hysterectomy[J]. Am J Obstet Gynecol, 1980, 136:153-158.
  • 2[2]Gitsch G.Trends in thirty years of Vaginal hysterectomy[J]. Surg Gynecol obstect ,1991,172:207-210.
  • 3[3]Kovac SR. Guidelines to detemine the route of hysterectomy[J]. Obstet Gynecol, 1995,85:18-23.
  • 4[4]Cosson M, Ouefieu D, Subil D, et al. The feasibility of vaginal hysterectomy[J]. Eur J Obstet Gynecol Repord Bio,1996, 64:95-99.
  • 5柳晓春,郭晓玲,谢庆煌.新式非脱垂子宫经阴道切除术[J].中华妇产科杂志,2000,35(3):186-187. 被引量:337

二级参考文献2

  • 1苏应宽 刘新民.妇产科手术学(第2版)[M].北京:人民卫生出版社,1992.433.
  • 2苏应宽,妇产科手术学(第2版),1992年,118页

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