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非脱垂子宫经阴道切除术130例临床分析
引用本文:刘仙,刘冬萍,宣毅飞,祝晓丽,赵锐. 非脱垂子宫经阴道切除术130例临床分析[J]. 实用妇产科杂志, 2011, 27(11)
作者姓名:刘仙  刘冬萍  宣毅飞  祝晓丽  赵锐
作者单位:解放军第184医院,江西鹰潭,335000
摘    要:目的:探讨非脱垂子宫经阴道切除术(TVH)临床应用情况。方法:选择自2006年6月至2011年6月非脱垂子宫TVH130例(TVH组),与同期开展的经腹子宫切除术140例(TAH组)的临床应用情况行回顾性对比分析。结果:TVH组手术时间、术后下床活动时间、肛门排气时间、住院时间均明显短于TAH组(均P<0.05),TVH组患者术后疼痛明显轻于TAH组。TVH组共发生并发症11例(8.46%),TAH组共发生并发症10例(7.14%),两组比较差异无统计学意义(P>0.05)。TVH组术后发生出血与脏器损伤5例(3.84%),明显高于TAH组(1例术后出血,0.71%),两组差异有统计学意义(P<0.05)。结论:TVH具有疼痛轻、恢复快、住院时间短等优点。TVH、TAH两组并发症总发生率无明显差别,但TVH发生脏器损伤及术后出血的概率较TAH高,其与患者的选择及术者的经验有关,应高度重视,认真防范。

关 键 词:非脱垂子宫  经阴道子宫切除术  并发症  

Clinical Analysis of 130 Cases of Transvaginal Hysterectomy for Non-prolapsed Uterus
LIU Xian,LIU Dongping,XUAN Yifei,et al. Clinical Analysis of 130 Cases of Transvaginal Hysterectomy for Non-prolapsed Uterus[J]. Journal of Practical Obstetrics and Gynecology, 2011, 27(11)
Authors:LIU Xian  LIU Dongping  XUAN Yifei  et al
Affiliation:LIU Xian,LIU Dongping,XUAN Yifei,et al(PLA 184th Hospital,Yingtan Jiangxi 335000,China)
Abstract:Objective:To analyze the clinical application and complications of transvaginal hysterectorny for non-prolapsed uterus.Methods:130 cases of transvaginal hysterectomy(TVH) for non-prolapsed uterus were compared with 140 cases of transabdominal hysterectomy(TAH) which were recuited from June,2006 to April,2011.Results:The operation time,time to get off the bed,time to anus exhaustion and hospitalization time in TVH group were much shorter than those in TAH group(P<0.05).The pain incidence in TVH group was les...
Keywords:Non-prolapsed uterus  Transvaginal hysterectomy  Complication  
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