【零的突破】城口县妇幼保健院成功开展首例阴式子宫切除术
<p style="text-indent:28px"><span style=";font-family:宋体;font-size:14px"><span style="font-family:宋体">阴式子宫切除术（</span><span style="font-family:Calibri">Total vaginal hysterectomy, TVH</span><span style="font-family:宋体">）适用于子宫脱垂、子宫腺肌症、子宫的良性病变及子宫内膜的增殖症，</span><span style="font-family:Calibri">TVH</span><span style="font-family:宋体">的历史已有一个多世纪，较腹式全子宫切除术还早</span><span style="font-family:Calibri">50</span><span style="font-family:宋体">年，它具备“利用天然孔道；体表无瘢痕；避免了腹壁各层损伤；对腹腔干扰小；并发症少；术后疼痛轻、恢复快；住院时间短、医疗费用低；合并有肥胖、糖尿病等合并症者更易耐受手术”等众多优点。但由于阴式手术术野狭窄，操作困难，对妇科医师的技术要求较高。近</span><span style="font-family:Calibri">10</span><span style="font-family:宋体">多年来，随着微创技术的发展，符合微创原则的经阴道子宫切除术再次得到国内外妇科专家的重视。</span></span></p><p style="text-indent:28px"><span style=";font-family:Calibri;font-size:14px"> </span></p><p style="text-indent:28px"><span style=";font-family:宋体;font-size:14px"><span style="font-family:宋体">患者苗某某，女，</span><span style="font-family:Calibri">66</span><span style="font-family:宋体">岁，因“外阴脱出肿物</span><span style="font-family:Calibri">4</span><span style="font-family:宋体">月余”于</span><span style="font-family:Calibri">2022.11.01</span><span style="font-family:宋体">入我院妇科，入院诊断：</span><span style="font-family:Calibri">1.</span><span style="font-family:宋体">阴道前壁脱垂（</span><span style="font-family:Calibri">III</span><span style="font-family:宋体">度） </span><span style="font-family:Calibri">2.</span><span style="font-family:宋体">膀胱脱垂（</span><span style="font-family:Calibri">III</span><span style="font-family:宋体">度） </span><span style="font-family:Calibri">3.</span><span style="font-family:宋体">子宫脱垂（</span><span style="font-family:Calibri">I</span><span style="font-family:宋体">度轻型） </span><span style="font-family:Calibri">4.</span><span style="font-family:宋体">阴道后壁脱垂（</span><span style="font-family:Calibri">II</span><span style="font-family:宋体">度） </span><span style="font-family:Calibri">5.</span><span style="font-family:宋体">宫颈上皮内肿瘤（高级别） </span><span style="font-family:Calibri">6.HPV</span><span style="font-family:宋体">感染 </span><span style="font-family:Calibri">7.</span><span style="font-family:宋体">陈旧性会阴裂伤（</span><span style="font-family:Calibri">I</span><span style="font-family:宋体">度）。患者入院后给予完善各项术前检查，科内讨论制定手术方案，充分术前准备。于</span><span style="font-family:Calibri">2022.11.04 </span><span style="font-family:宋体">上午在山东支医专家徐丽华教授主持下，我科与麻醉科手术室共同协作，成功为患者实施了“经阴全子宫切除术</span><span style="font-family:Calibri">+</span><span style="font-family:宋体">左侧输卵管切除术</span><span style="font-family:Calibri">+</span><span style="font-family:宋体">阴道前后壁修补术</span><span style="font-family:Calibri">+</span><span style="font-family:宋体">会阴成型术</span><span style="font-family:Calibri">+</span><span style="font-family:宋体">阴道填塞术”。患者术后恢复好，治愈出院。</span></span></p><p style="text-indent:28px"><span style=";font-family:Calibri;font-size:14px"> </span></p><p style="text-indent:28px"><span style=";font-family:宋体;font-size:14px"><span style="font-family:宋体">这是我院开展的首例阴式子宫切除术，填补了我院此类手术的空白，是提升妇科盆底重建技术的一次飞跃。未来我们将以打造县级重点专科建设为契机，继续努力开展新技术新业务，坚持为城口县广大妇女健康服务的初心，踔厉奋进，再攀新的高峰！</span> </span></p><p><span style="font-size: 12px;">来源：城口妇幼保健院</span></p><link rel="stylesheet" href="//bbs.cktcw.cn/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_W6i" id="wcn_editor_css"/> 厉害了 医疗水平越来越好
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