非脱垂子宫疾病经阴道全子宫切除术与经腹全子宫切除术临床疗效比较

目的:探讨非脱垂子宫疾病经阴道全子宫切除术(TVH)与经腹全子宫切除术(TAH)的临床应用价值。方法:回顾性分析非脱垂子宫(良性病变)切除术患者80例,其中TVH组26例,TAH组54例,比较2组手术时间、术中出血量、住院时间、术后镇痛率、肛门排气时间、术后感染、下床活动时间和术后体温恢复时间。结果:2组患者手术均成功,与TAH组比较,TVH组手术时间短、术中出血量少、术后疼痛轻、肛门排气时间短、下床活动时间早、术后体温恢复快、住院时间短(P<0.01)。结论:非脱垂子宫行TVH更符合当代外科微创理念,能显著提高患者生活质量,安全可行,是一种较为理想的术式。

The clinical effect comparison of transvaginal hysterectomy and abdominouterectomy in the treatment of non - prolapsed uterus

Objective:To investigate the application value of trans-vaginal and trans-abdominal hysterectomy(TVH and TAH)in non-prolapsed uterus disease. Methods:The data of 80 patients with non-prolapsed uterus(benign lesions) treated with hysterectomy were retrospectively analyzed, which included 26 cases treated with TVH and 54 cases treated with TAH. The time of operation, hospitalization,anus exhaust, ambulation and postoperative temperature recovery, blood loss and postoperative analgesia rate and infection between two groups were compared. Results:All operations in two groups were successful. Compared with patients treated with TAH,the shortertime of operation,hospitalization,anus exhaust,ambulation and post-operative temperature recovery,less blood loss and lighter postoperative pain were observed in patients treated with TVH(P < 0. 01). Conclusions:TVH significantly improves the life quality of patients withnon-prolapsed uterus disease,which is safe,feasibleand ideal surgery.