非脱垂子宫阴式子宫切除术68例临床分析

目的：探讨非脱垂子宫阴式手术方法及临床使用价值。方法：搜集我院2006年6月-2008年8月间实施非脱垂子宫阴式手术68例，其中子宫肌瘤47例，子宫腺肌病14例，功能失调性子宫出血7例，并对手术方法、要点、适应症及禁忌症等加以讨论。结果：68例均经阴道手术成功，术后无感染、出血及脏器损伤，无中转开腹，术后3个月随访无其它并发症发生。结论：非脱垂子宫阴式手术适用于子宫活动度良好，无明显盆腹腔粘连、阴道较宽松、有明确手术指征的患者，该术式具有创伤小、术后恢复快、住院时间短、腹壁无瘢痕、费用低等优点，值得在基层医院推广应用。

Clinical Analysis of 68 Cases on Non-prolapsed Uterus Vaginal Hysterectomy

Objective To investigate the non-prolapsed uterus vaginal surgical methods and clinical value. Methods： During June 2006 to August 2008, to collect 68 cases in our hospital which implemented the non-prolapsed uterus vaginal surgery, in which 47 cases were uterine myoma, 14 cases were adenomyosis, dysfunctional uterine bleeding in 7 cases, and surgical methods, key points, such as indications and contraindications to be discussed. Results： 68 cases of vaginal surgery are successful, no postoperative infections, bleeding and organ damage, no laparotomy in the middle of the operation, after three months follow-up no other complications occurred. Conclusion： The non-prolapsed uterus vaginal surgery suit to the patients＇uterine activity good, no obvious abdominal adhesions basin, vaginal more relaxed, there are clear indications with surgery, the surgical procedures with less trauma and faster postoperative recovery, shorter hospitalization time, No abdominal scar, low cost, it is worth popularization and application at the grass-roots hospitals.