新式阴式子宫全切除术与传统子宫全切除术式对比分析

目的探讨两种阴式子宫全切除术的可行性、临床效果和安全性。方法回顾性分析2010年1月～2011年10月本院行阴式子宫切除术患者90例的临床资料，观察其手术效果和术后情况。其中新式阴式子宫切除术（利用血管闭合系统Ligasure系统）45例（改良组），同期行传统的阴式子宫全切术45例（对照组），比较手术效果和术后恢复情况。结果改良组平均手术时间、术中平均出血量[（49±22）min、（140±30）mL]和对照组【（63±31）min、（220±35）m-1比较，差异有统计学意义（P〈0．05）。两组术后排气时间、住院时间比较[（26±4）h、（3．8±0．6）d vs（28±6）h、（4．4±0．2）d1，差异无统计学意义（P〈0．05）。结论新式子宫全切除术与传统子宫全切除术比较，手术效果好．范围广，创伤小，值得推广应用。

Comparative study between modified abdominohysterectomy and total hysterectomy

Objective To study the feasibility, clinical effects and safety of modified abdominohysterectomy. Methods The clinical data of 90 cases who underwent total hysterectomy（45 cases） and modified abdominohysterectomy （45 cas- es） from January 2010 to October 2011 were retrospectively analyzed and the operative effects and postoperative re- covery of two methods were compared. Results There were significant differences in the average operation time and amount of blood loss during operation between modification group[（49±22） min and （140±30） mL] and control group[ （63±1） rain and （220±5）mL] （P〈 0.05）. There was no significant difference in the time of exhaust ,disease incidence and average hospitalization between modification group [（26±） h, （3.8±.6） d ] and control group [（28±6） h, （4.4±.2） d]. Conclusion This operative technique has better operative effects, less damage and fewer complications compared with the traditional method and it is worthy of popularizing.