行阴

结果15例患者中，5例既往曾行阴式手术，10例无阴式手术史，悬吊后脱垂全部治愈，平均手术时间55min，平均出血量150ml。

Results All 15 cases , five with vaginal operation and 10 without such history , were cured . The mean operation duration was 55 min and mean bleeding volume was 150 ml.

子宫肌瘤行阴式全子宫切除术的临床观察

The clinical evaluation of vaginal total hysterectomy for myoma of uterus

目的：对子宫肌瘤行阴式全子宫切除术的可行性进行临床研究。

Objective : To study the clinical feasibility of vaginal total hysterectomy for Myoma of uterus .

108例（占70.1%）同时行阴式全子宫切除术+阴道前壁、后壁修补术3种术式；

108 patients ( 70.1 % ) had vaginal hysterectomy , cystocele repair and rectocele repair ;

结论行阴式子宫全切术应用子宫固定牵引器及本护理模式具有安全、高效优势。

Conclusion Use of uterus tractor plus the nursing care mode in question in transvaginal total hysterectomy was safe and effective .

方法在1997年9月至1998年1月对25例子宫增大如6～16孕周、活动、估计无粘连的子宫肌瘤、肌腺病患者，行阴式子宫切除术。

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 .

结果：483例中除1例因术中发现肌瘤肉瘤样变而改开腹手术外，余482例均成功行阴式子宫切除术，成功率达998%。

Results : The success rate was 99.8 % for TVH , one patient was turned to open surgery because of unexpected uterine sarcoma . The mean weight of 482 removed uteruses was 369.7g ( 166 ~ 1080g ) .

方法对320例子宫增大如12~20孕周、子宫肌腺症患者，行腹腔镜辅助阴式子宫切除术。

Methods Laparoscopic assisted transvaginal hysterectomy was conducted in 320 cases of adenomyosis , with the uterine size equivalent to 12 ~ 20 gestational weeks .

方法对68例妇女因患子宫肌瘤、子宫腺肌症、子宫颈原位癌、卵巢肿瘤等病变有子宫切除指征的患者行腹腔镜辅助阴式全子宫切除术。

Methods LAVH were carried out in 68 patients with myoma of uterus , adenomyosis , and cervical carcinoma in situ , ovarian tumor and so on , which were all indications for uterus resection .

32例行两种术式，其中29例（占18.8%）行阴道前壁+后壁修补术，3例（占1.9%）行阴式全子宫切除术+阴道后壁修补术；

32 patients had two procedures , including 29 ( 18.8 % ) cystocele repairs and rectocele repairs and 3 ( 1.9 % ) vaginal hysterectomy and rectocele repair ;

62例根据病变部位和淋巴结切除术适应证行盆腔淋巴结切除术，5例行选择性腹主动脉周围淋巴结切除，再行腹腔镜辅助阴式广泛子宫切除术。

Pelvic lymphadenectomy was conducted in all the cases ; while selective lymphadenectomy of peripheral lymph nodes of the abdominal aorta was performed in 5 cases , followed by laparoscope-assisted vaginal hysterectomy ( LAVH ) .