改良阴式子宫切除术120例临床分析

目的：分析改良阴式子宫切除术在子宫良性病变的临床应用效果.方法：对2005年5月-2008年12月在我院120例行改良阴式子宫切除术（改良组）与30例行传统阴式子宫切除术（对照组）的临床资料进行回顾性分析.结果：改良组术中出血量、手术时间、肛门排气时间、术后恢复、住院时间及术后病率,均明显少于传统组（P〈0.05）.改良组子宫大小平均为（403.5±78.2g）,传统组为（71.4±22.4g）,两组比较差异有统计学意义（P〈0.01）,但术后疼痛用止痛药例数差异无统计学意义（P〉0.05）.结论：与传统阴式子宫切除术相比,改良阴式子宫切除术具手术时间短,术中出血量少、术野暴露较充分,术后恢复快等优势,是一种安全有效的子宫切除术式.

Improved Vaginal Hysterectomy Clinical analysis of 120 cases

Objective： To analyze the improvement of vaginal hysterectomy in benign uterine clinical effect. Methods：In May 2005-2008 120 in our hospital in December improved routine vaginal hysterectomy（improvement group）and 30 patients of traditional vaginal hysterectomy（control group） wcre retrospectively analyzed. Result：The modified group blood loss, operative time, anal exhaust time, postoperative recovery, hospital stay and postoperative morbidity were significantly less than the traditional group（P〈0.05）. The average uterine size improvement group（403.5 ± 78.2g）, the traditional group（71.4±22.4g） ,the difference was statistically significant（P〈0.01） ,but the pain with pain killers no difference in the number of ca- ses significance（P〉0.05）. Conclusion： Compared with traditional vaginal hysterectomy compared with vaginal hysterectomy modified with a shorter operative time,less blood loss,exposure of the surgical field more fully,and other advantages of rapid recovery, is a safe and effective hysterectomy surgical procedures.