非脱垂子宫阴式和腹式全切术的临床疗效分析

目的探讨并总结非脱垂子宫不同手术方式切除的临床疗效，进一步寻求更好的手术方法。方法选取2010年9月至2012年9月本溪市中心医院妇科非子宫脱垂行子宫全切术的患者100例，根据患者的意愿和随机分组原则分为两组，每组50例，实验组患者采用阴式子宫全切术，对照组患者行腹式子宫全切术，治疗结束后对比两组患者的临床疗效。结果实验组和对照组的手术时间分别为（76±21）、（78±20）min；实验组和对照组的术中出血量分别为（57±17）、（105±35）ml，两组患者手术时间比较差异无统计学意义（P〉0．05），但出血量比较差异有统计学的意义（P〈0．05）。实验组和对照组患者术后排气时间分别为（14．1±2．9）、（37．6±10．1）h，住院时间分别为（4．7±1．3）、（7．9±1．9）d，两组患者肛门排气时间和住院时间比较差异有统计学意义（P〈0．05）。结论非脱垂子宫阴式全切术的术中出血量少，术后恢复较快，临床效果好，有很好的临床意义和推广价值。

Clinical effect analysis of transvaginal total hysterectomy and transabdominal total hysterectomy for non-prolapsed uterus

Objective To investigate and summarize the clinical effects of different surgical methods for non-prolapsed uterus , in order to develope a better surgical method. Methods One hun-dred cases of non-prolapsed uterus women who underwent total hysterectomy from September 2010 to Sep-tember 2012 were chosen, according to the patients＇ willing and random principle, they were divided in-to two groups, with 50 cases in each group. Patients in experiment group were treated by transvaginal to-tal hysterectomy while patients in control group were treated by transabdonal total hysterectomy. After treatment, their clinical effects were compared. Results During surgery, operation time of experiment group and control group were （76 ± 21 ） min and （78 ± 20） min respectively, and there was no significant difference between the two groups （ P 〉 0. 05 ） ; bleeding amount of the two groups were （57 ± 17 ） ml and （ 105 ± 35 ） ml respectively, and there was significant difference. After operation, the evacuation time of experiment group and control group were （ 14. 1 ± 2. 9） h and （37.6 ± 10. 1 ） h respectively, and there was significant difference ; hos-pital stays of the two groups were （4. 7 ± 1.3 ） d and （7.9 ± 1.9 ） d respectively, and there was signifi- cant difference. Conclusions Transvaginal total hysterectomy for non-prolapsed uterus cutting has little bleeding amount during the operation, rapid recovery after operation and good clinical effect, so it posses-ses good clinical significance and promoting values.