改良阴式子宫切除术与经腹子宫切除术的临床效果分析

目的比较改良阴式子宫切除术与经腹子宫切除术的临床效果。方法将126例良性子宫病变患者随机分为两组，其中改良阴式子宫切除术组66例，开腹子宫切除术组60例，比较两组患者手术及术后相关情况，并在随访期间对心理和性生活情况进行调查比较。结果阴式手术组在平均手术时间、术中出血量、手术并发症发生率、术后镇痛泵使用率、术后疼痛指数、最早下床活动时间、术后3d平均最高体温、术后胃肠恢复时间、平均住院日及住院费用等方面均较开腹手术组为佳，差异有统计学意义（P〈0．05）；在随访期间进行心理和性生活调查，结果显示阴式手术组较开腹手术组好，差异有统计学意义（P〈0．05）。结论改良经阴道子宫切除术符合微创手术原则，具有手术步骤简洁、手术时间短、对患者损伤小、术后恢复快等优点，提倡临床推广应用。

Clinical analysis of improved vaginal hysterectomy and abdominal hysterectomy

Objective To compare the clinical effect of improved vaginal hysterectomy and total abdominal hysterectomy. Methods One hundred and twenty - six cases of benign uterine lesions were randomly divided into two groups, improved vaginal hysterectomy group （group A） 66 cases and abdominal hysterectomy group （group B） 60 cases. The relevant information during and after surgery were com- pared, and the psychological and sexual living conditions were surveyed during follow -up. Results The mean operation time, blood loss, surgical complication rate, postoperative analgesia pump rate, postoperative pain score, the first time out of bed, after 3 days average maximum temperature, after the stomach intestinal recovery time, the average length of stay and hospital charges of vaginal surgery group were better than that of open surgery group, with significant differences （ P 〈 0.05 ） ; in the follow - up psychological and sexual life during the survey results show that vaginal surgery group were good than open surgery group, there was a significant difference （ P 〈 0. 05 ）. Conclusions Modified vaginal hysterectomy is consistent with the operative time, less cal application. damag principles of minimally invasive surgery, with simple surgical procedure, short e to the patient and rapid postoperative recovery, is deserved to promote clinical application.