非脱垂子宫阴式与腹式全切术临床效果分析

目的比较非脱垂子宫经阴道和经腹切除这两种不同手术途径的优点、适应证、禁忌证、手术特点及难点。方法对非脱垂子宫良性疾病经阴道行全子宫切除术（TVH）480例与同期指征相近的经腹全子宫切除术（TAH）440例进行回顾性分析，比较两种手术在手术时间、出血量、术后镇痛需要率、术后病率、术后恢复肛门排气时间、术后下床活动时间及术后住院日等方面的差异。结果TVH组无术中、术后并发症。术中出血量少于TAH组（P〈0．01），术后镇痛需要率、术后病率、术后恢复肛门排气时间、下床活动时间及住院日均小于TAH组（P〈0．01），两者手术时间差异无统计学意义（P〉0．05）。结论TVH创伤小、痛苦少、体表不留瘢痕，康复快，患者乐于接受。

Analysis of clinical out come between vaginal and abdominal hysterectomy for non-prolapsed uterus

Objective To compare the postoperative recovery of vaginal and abdominal hysterectomies of non-prolapsed uterus ,in order to offer the advantages, surgical indications and contraindieations ,surgical characteristic and diflieuhy of transvaginal hysterectomies of non-prolapsed uterus. Methods To retrospectively analyze 480 cases transvaginal hysterectomies (TVH) and 440 cases transabdominal hysterectomies (TAH) with similar indications in the corresponding period, and compare the operation duration ,blood lost during the procedure, postoperative analgesic, morbidity, recovery time of the function of intestine, activity time of getting up and hospitalization between those surgi-ca] techniques. Results There were no intraoperation and postoperative complications in group TVH. In group TAH: more blood was lost(P <0.01) ,the function of intestine recovered more slowly(P <0.01) ,more analgesic needed, more morbidity noted (P < 0.01), activity time of getting up is much longer(P < 0.01). The hospital stay after opera-tion was much shorter in group TVH(P <0.01). No statistical difference was found between the two groups in terms of the duration(P 0.05). Conclusion TVH is minimal invasive surgery that include small trauma,reduced pain, no abdomen scar and quick recovery. So the patients are happy to accept it.