非脱垂子宫阴式切除术168例临床分析

目的：探讨非脱垂子宫经阴道切除术（TVH）的可行性及临床应用价值。方法：回顾性分析168例子宫良性病变的非脱垂子宫经阴道子宫切除（阴式组）的临床资料，并与158例经腹子宫切除术患者（开腹组）的临床资料进行分析比较。结果：两组在手术时间[（60±20）min vs （80±10）min］、术中出血量［（135±12）ml vs （150±26）m1]、肛门排气时间[（27±3）h vs （35±9）h]及术后平均住院天数（5d vs 7d）方面比较，差异均有统计学意义（均P〈0．05）。结论：非脱垂子宫经阴道切除是可行的，且简便、安全，优于开腹子宫切除术。

Clinical analysis of transvaginal hysterectomy in 168 cases

Objective： To investigate the feasibility and clinical value of transvaginal hysterectomy in patients without prolapse signs. Methods： The data of 168 patients with normal positioned benign uterine diseases treated with vaginal hyserectomy （vaginal group） were analyzed, and were compred with the data of 158 patients who underwent open hysterectomy （open group）. Results： There were significant differences on the operation time [（60±20） min vs （80±10） min], the bleeding in the operation [（135±12） ml vs （150±26） ml], anus exhaustion [（27±3） h vs （35±9） h] and the average hospital days （5 d vs 7 d） in the two groups （all P〈0.05）. Conclusion： Transvaginal hysterectomy is clinically feasible. It is safe and simple as well.