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 )