阴式子宫切除术50例临床分析

目的 探讨阴式子宫切除术（ＴＶＨ）的优点、适应证、手术要点及临床应用价值。方法 自１９９５年１０月至１９９８年１１月,对５０例因多发性子宫肌瘤、子宫腺肌病、宫颈原位癌、功能失调性子宫出血及子宫内膜不典型增生而部垂患者,行ＴＶＨ。术前子宫大小正常者１０例（２０％）,子宫〉１２周者（大子宫）１６例（３２％）,子宫增大但≤１２周者２４例（４８％）。既往有手术史者６例（１２％）。同时行附件功除术者１１例（

Clinical analysis of 50 cases of transvaginal hysterectomy

OBJECTIVE: To assess the advantage, indications, surgical management and the clinical value of transvaginal hysterectomy in patients without uterine prolapse. METHODS: From Oct. 1995 to Nov. 1998, 50 women undergone transvaginal hysterectomy for various benign gynecological lesions were consecutively included in this study. Their mean age was 45 years (range 36-50). There were 10 patients (20%) with normal uterine size, and 16 (32%) with uteri of > 12 gestational weeksize (range 14-16 weeks) and the remaining 24(48%) < or = 12 weeksize. 11 patients (22%) underwent salpingo-oophorectomy simultaneously, 6 patients (12%) had previous laparotomy. RESULTS: The mean operating time was 63 min with a range 40-110 min. Post-operative hospital stay averaged 4 days (range 2-8 days). The amount of blood loss during operation ranged 50-100 ml. The only postoperative complication was small residue hematoma in 1 case and cured with conservative treatment. CONCLUSIONS: Transvaginal hysterectomy was associated with remarkable advantages: shorter operating time and hospital stay, fewer complication, less discomfort, quicker recovery and less expenses. Enlarged uterus to a size of > 12 gestational weeks; benign adnexal mass or previous operation should no longer be considered as contraindication of transvaginal hysterectomy.