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Clinical analysis of fallopian tube prolapse after hysterectomy
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF OBSTETRICS AND GYNECOLOGY
- Issue:
- 7
- DOI:
- 10.3760/j.issn:0529-567X.2006.07.005
- Key Word:
- 子宫切除术;输卵管疾病;脱垂;手术后并发症
Abstract： 目的 探讨子宫全切除术后输卵管脱垂的诊断、处理及预防措施.方法 收集1983年1月至2005年8月行各类子宫全切除术7949例患者的资料,其中行开腹子宫全切除术6229例,行阴式子宫全切除术780例,行腹腔镜辅助阴式子宫全切除术940例.结果 手术后共发生阴道残端输卵管脱垂9例,发生率为0.11%(9/7949).其中开腹子宫全切除术后发生5例,发生率为0.08%(5/6229);阴式子宫全切除术后发生4例,发生率为0.51%(4/780);腹腔镜辅助阴式子宫全切除术后无一例发生输卵管脱垂.9例患者子宫全切除术后均放置了阴道引流管,其中5例子宫切除后未行阴道残端腹膜化处理.9例患者中,3例无任何症状;6例有症状的患者中,1例出现左侧腰背部痛,5例出现阴道排液.妇科检查,3例阴道残端发现输卵管伞端,6例阴道残端可见类似肉芽样组织.9例患者均经阴道切除,局部烧灼脱垂的输卵管,切除组织经病理检查证实均为输卵管组织.之后随诊1～59个月无异常发现.结论 输卵管脱垂是子宫全切除术后的一种少见并发症,输卵管脱垂一般发生于子宫全切除术后放置阴道引流管的患者,经正确的诊断和治疗预后良好.行子宫全切除术时,应将附件固定在骨盆侧壁或行输卵管切除.
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