大子宫经阴道和经腹部切除术的效果对比分析

目的探讨大子宫经阴道手术的可行性、手术要点及并发症的防治。方法2004-08～2009-08对≥12孕周大小的子宫经阴道切除术（TVH）31例与经腹部切除术（TAH）33例进行分析比较。结果TVH组肛门排气时间和术后住院时间均短于TAH组，差异有统计学意义（P〈0．05），手术时间和出血量差异无统计学意义（P〉0．05）。结论只要掌握娴熟的手术技术和恰当的适应证，大子宫经阴道切除术具有安全、微创、恢复快的优点。

Clinical analysis of transvaginal and transabdominal hysterectomy for large uterus

Objective To investigate the feasbility, operative points and the prevention of complications of transvaginal hysterectomy for large uterus. Methods The transvaginal hysterectomy （TVH）for ≥ 12 weeks of gestation on the size of the uterus were performed in 31 cases in the Shoukang Hospital of Huangshan from August 2004 to August 2009, and compared with transabdominal hysterectomy（TAH） group （33 cases）. Results Compared with the TAH group,the TVH group had a significantly reduction in anus exhaution time and postoperative hospital stay（P 〈 0. 05 ）. There were no significant difference in operation time and volume of blood loss between the two groups （ P 〉 0. 05 ）. Conclusion With a skilled surgical technique, and mastering of the fight indication,TVH for large uterus is safe, with minor trauma and rapid recovery.