非脱垂子宫经阴道切除114例临床分析

目的 探讨非脱垂子宫经阴道(TVH)和经腹(TAH)切除两种术式的临床效果.方法 回顾性对比分析2005年1月至2007年6月间该院接受以上两种子宫切除的216例的临床资料.腹式组102例,阴式组114例.比较两组手术中时间、术中出血量、术后镇痛用药率、术后排气时间、住院时间及术后并发症.结果 阴式组出血量、手术时间、术后镇痛用药率均少于腹式组,术后排气时间、住院时间、术后病率明显短于腹式组,差异均有统计学意义(P＜0.01).结论 非脱垂子宫经阴道切除符合微创手术原则,具有术后恢复快、术后病率低、损伤小、住院时间短、并发症少、腹部不留瘢痕等优点,是一种理想的术式.

Analysis of 114 cases of vaginal hysterectomy

Objective To investigate therapeutic effects of total abdominal hysterectomy(TAH)and trans vaginal hysterectomy(TVH).Methods Dataof 216 patientswho underwent hysterectomy from January 2005 to June 2007 in our hospital were analyzed retrospectively,Mean operation time,blood loss during operation,analgesic use after operation,time to first passing flatus,hospital stay,rate of postoperation fever and complications were compared between TAH group(n=102)and TVH group(n=114).ResultsMean operation time,blood loss during operation,time to first passing flatus,the rate of postoperation fever,analgesic use after operation,hospital stay in TVH group were significantly shorter than thcse of TAH group(P＜0.01).Conclusion TVH has many merits,such as less trauma,less blood loss,quiker recovery,no scarin abdomen and should be widely used in the clinic practice.