阴式大子宫切除术25例临床分析

目的 探讨阴式大子宫切除术的方法和经验。方法 在１９９７年９月至１９９８年１月对２５例子宫增大如６～１６孕酮、活动、估计无粘连的子宫肌瘤、肌腺病患者，有式子宫切除术。减小子宫体积的手法包括子宫对半切开、子宫肌瘤切除、子宫分碎、子宫肌瘤剔除术，其中最常用的方法是子宫对半切开、肌瘤剔除及分碎的结合使用。结果 ２４例经阴道手术成功，平均子宫重量为３６０ｇ（１５５～７５５ｇ），平均手术时间为９５分钟（６０

Vaginal hysterectomy for large uterus

OBJECTIVE: The technique and experience of vaginal hysterectomy for large uterus of 25 cases was reported. METHODS: Vaginal hysterectomy for 25 cases of uterine fibroids and adenomyosis were performed. The uterine sizes enlarged as large as 6-16 weeks of pregnancy, mobile, no adhesion by estimation. The technique used for reducing the uterine bulk included bisection, myomectomy, morcellation and coring. The most common way to reducing the uterine bulk was bisection combined with myomectomy and morcellation. RESULTS: Twenty four cases of vaginal hysterectomy were performed successfully. The average weight of uterus for the 25 cases was 360 g(range from 155 g to 755 g), the mean time for the operation was 95 minutes(range from 60 to 150 minutes), the average quantity of blood loss was 150 ml (range from 50 to 400 ml), the average admission duration of postoperation was 5.3 days(range from 3 to 8 days). CONCLUSION: Vaginal hysterectomy is a safe and effective option for removing enlarged uterus. The successful operation was related to the uterine sizes, mobile, operator' skill and experiences.