简介：　　 [摘要 ]目的：研究Ⅲ度子宫脱垂合并阴道膨出患者应用经阴道全子宫全阴道切除术的临床疗效。方法：随机抽取 29例我院妇产科收治的Ⅲ度子宫脱垂合并阴道膨出患者，将接受经阴道全子宫全阴道切除术的患者纳入观察组（ n=16），将接受经阴道全子宫切除术联合修补治疗的患者纳入对比组（ n=13）。结果： 2组患者出血量差异不存在统计学意义（ t=0.7260， p=0.0524），观察组患者排气时间短于对比组，差异存在统计学意义（ t=13.2502， p=0.0118），住院时间短于对比组，差异存在统计学意义（ t=16.2930， P=0.0259）。观察组患者并发症总发生率为 18.75%，对比组并发症总发生率为 46.15%，观察组并发症总发生率明显较对比组患者低， 2组差异存在统计学意义（ x2=17.8732， p=0.0159）。结论：Ⅲ度子宫脱垂合并阴道膨出患者应用经阴道全子宮全阴道切除术可缩短患者术后恢复时间且具有更高的应用安全性。  　　 [关键词 ]经阴道全子宫全阴道切除术 ;Ⅲ度子宫脱垂 ;阴道膨出  　 [Abstract] Objective: To study the clinical effect of transvaginal hysterectomy in patients with third degree uterine prolapse and vaginal prolapse. Methods: 29 patients with third degree uterine prolapse and vaginal prolapse were randomly selected. The patients who received transvaginal hysterectomy were included in the observation group (n = 16), and the patients who received transvaginal hysterectomy and repair were included in the control group (n = 13). Results: there was no significant difference in the amount of bleeding between the two groups (t = 0.7260, P = 0.0524), the exhaust time of the observation group was shorter than that of the control group, the difference was statistically significant (t = 13.2502, P = 0.0118), the length of stay was shorter than that of the control group, and the difference was statistically significant (t = 16.2930, P = 0.0259). The total incidence of complications was 18.75% in the observation group and 46.15% in the control group. The total incidence of complications in the observation group was significantly lower than that in the control group. The difference between the two groups was statistically significant (x2 = 17.8732, P = 0.0159). Conclusion: transvaginal hysterectomy can shorten the recovery time of patients with third degree uterine prolapse and vaginal prolapse.

简介：　　 [摘要 ]目的 探讨大子宫经腹腔镜下全切及腹腔镜联合阴道切除的手术技巧、安全性、可行性。方法 回顾性分析 2018年 6月～ 2020年 4月子宫体积如 12～ 24孕龄大小的，于我院行腹腔镜下全子宫切除及腹腔镜联合阴道子宫切除 27例患者的临床资料。结果 16例患者行腹腔镜下全子宫切除术， 11例患者行腹腔镜联合阴道子宫切除术。手术时间（ 120.0±36.5） min，术中出血量（ 150.3±68.2） ml，平均住院日（ 6.1±0.7） d。 1例剖宫产史病例发生膀胱轻微副损伤，即时镜下修补，无一例发生术中或术后严重并发症。结论 选择合适的病例，具有熟练的腹腔镜手术和阴式手术基础，大子宫经腹腔镜下全切及腹腔镜联合阴道切除是安全、可行的。  　　 [关键词 ]腹腔镜；腹腔镜联合阴道；子宫切除术；大子宫  [Abstract] Objective To explore the operative technique, safety and feasibility of laparoscopic total hysterectomy and laparoscopic combined vaginal hysterectomy. Methods the clinical data of 27 cases of laparoscopic total hysterectomy and laparoscopic vaginal hysterectomy in our hospital from June 2018 to April 2020 were analyzed retrospectively. Results 16 patients underwent laparoscopic total hysterectomy, 11 patients underwent laparoscopic combined vaginal hysterectomy. The average length of stay was (6.1 ± 0.7) days. One case with history of cesarean section had slight bladder injury and immediate repair under the microscope. No serious complications occurred during or after operation. Conclusion it is safe and feasible to select the right cases and have the basis of skilled laparoscopic operation and vaginal operation.

简介：　　摘要：目的 总结并评价宫腔镜下子宫内膜息肉切除术治疗子宫内膜息肉的治疗效果。方法 本次研究中选取 40例子宫内膜息肉患者作为研究对象，按照随机数字法分为两组，对照组 20例实施宫腔镜定位后刮宫术，观察组 20例实施宫腔镜下子宫内膜息肉电切除术，对比不同方法的治疗效果。结果 观察组术后的月经量、子宫内膜厚度以及 1年复发率与对照组相比有明显差异， P<0.05，但两组 1年内妊娠率对比无差异， P>0.05。结论 宫腔镜下子宫内膜息肉电切除术治疗子宫内膜息肉效果确切，可广泛应用到临床中。  　　关键词：宫腔镜；子宫内膜；子宫内膜息肉  　　 Abstract: Objective To summarize and evaluate the therapeutic effect of endometrial polypectomy under hysteroscopy. Methods 40 cases of endometrial polyps were selected as the research object in this study. According to the random number method, they were divided into two groups. 20 cases in the control group were treated by curettage after hysteroscopic localization, 20 cases in the observation group were treated by hysteroscopic resection of endometrial polyps, and the therapeutic effects of different methods were compared. Results the amount of menstruation, endometrial thickness and 1-year recurrence rate in the observation group were significantly different from those in the control group (P < 0.05), but there was no difference between the two groups (P > 0.05). Conclusion hysteroscopic resection of endometrial polyps is effective and can be widely used in clinic.

简介：　　【摘 要】：目的：探索瘢痕性子宫合并前置胎盘在临床上的特点，以及对母婴的结局影响。方法：选择在本院产科 2016年 6月到 2018年 6月间医治的 23位瘢痕性的子宫合并前置胎盘的产妇作为观察组，将首次进行剖宫产的前置胎盘孕妇 23位作为对照组。收集两个组孕妇的资料进行观察和研究。两组产妇均接受剖宫产医治。对两个组孕妇在产后的出血的情况、妊娠的结果以及围生儿情况进行探索与比对。结果：两个组的孕妇在剖宫产之后，无痛阴道出血、第一次阴道出血、孕周在生产之前阴道的出血量进行比较，差异均没有统计学上的意义。观察组手术的时间，生产之后出血的量均高于对照的一组。观察组在手术中进行输血、胎盘的植入、胎盘在附着面的缝扎止血、子动脉的栓塞、背包缝合、子宫的切除比率均高于对照的一组。观察组胎儿出现窘迫、早产、新生儿的窒息的比率高于对照组。两个组围生儿的死亡比率比较，差异没有统计学的意义。结论：瘢痕性的子宫合并前置的胎盘在临床上的表现主要为无痛性阴道的出血、瘢痕性子宫合并前置胎盘，手术时间相对比较长，产后出血量多，术中的止血难度增加，而且围生儿的结局较差。  　　【关键词】：瘢痕子宫 ;前置胎盘 ;临床特点 ;母婴结局  [Abstract]: Objective: To explore the clinical characteristics of cicatricial uterus with placenta previa and its effect on the outcome of mother and infant. Methods: 23 pregnant women with cicatricial uterus and placenta previa treated in our obstetrics department from June 2016 to June 2018 were selected as the observation group, and 23 pregnant women with placenta previa who had first cesarean section were selected as the control group. Data of pregnant women in two groups were collected for observation and study. Both groups received cesarean section. To explore and compare the two groups of pregnant women's postpartum hemorrhage, pregnancy results and perinatal conditions. Results: there was no significant difference between the two groups in the amount of painless vaginal bleeding, first vaginal bleeding and vaginal bleeding before delivery. The time of operation and the amount of bleeding in the observation group were higher than those in the control group. In the observation group, blood transfusion, placenta implantation, placenta ligation on the attachment surface, subarterial embolization, backpack suture and hysterectomy were all higher than those in the control group. The rate of fetal distress, premature delivery and neonatal asphyxia in the observation group was higher than that in the control group. There was no significant difference between the two groups. Conclusion: the clinical manifestations of cicatricial uterus with placenta previa are mainly painless vaginal bleeding, cicatricial uterus with placenta previa. The operation time is relatively long, the amount of postpartum hemorrhage is more, the difficulty of hemostasis is increased, and the perinatal outcome is poor.

简介：【摘要】目的 研究剖宫产手术当中应用甲硝唑冲洗宫腔对预防子宫内膜异位和产褥感染的效果。方法 选择 2017年 3月到 2019年 11月我院收治的进行剖宫产的产妇 80例作为研究对象，按随机方法分为观察组和对照组，每组平均为 40例。观察组均应用甲硝唑冲洗宫腔对照组反之，比较两组研究对象子宫内膜异位症和产褥感染的发生率。方法 对照组产妇白细胞计数升高（ 15~20） ×109/L的 17例，占 42.50%，观察组 5例，占 12.50%， P＜ 0.05，差异存在统计学意义；对照组出现子宫内膜异位症的发生率为 45.00%（ 18/40），观察组为 15.00%（ 6/40）， P＜ 0.05，差异存在统计学意义；对照组患者出现产褥感染的发生率 42.50%（ 17/40），观察组为 10.00%（ 4/40）， P＜ 0.05，差异存在统计学意义。结论 在剖宫产手术当中通过甲硝唑冲洗宫腔可有效的预防子宫内膜异位出现，也能在一定程度上预防产褥感染，是值得推广应用的一种干预方式。