经阴道与经腹子宫切除术临床效果对比分析

目的评价经阴道与经腹子宫切除术在子宫良性病变中的临床效果。方法对2006年5月—2008年6月因子宫良性病变需行子宫切除术的121例病例进行回顾性分析，其中经阴道子宫切除术58例（阴式组），经腹子宫切除术63例（开腹组）。主要对比2组手术时间、术中出血量、术后住院时间、术后排气时间、术后镇痛药使用率、术后病率、术后并发症等。结果2组手术时间，术中出血量比较差异无统计学意义（P〉0．05）；阴式组术后排气早、住院时间短、术后镇痛药使用率及术后病率低与开腹组比较差异有统计学意义（P〈0．05）。结论经阴道子宫切除术较经腹子宫切除术具有创伤小，恢复快的优点，符合微创观点。

A Retrospective Analyzation on Clinical.Effects of Vaginal Hysterectomy and Transabdominal Hysterectomy

[Objective]To evaluate the clinical effects of vaginal hysterectomy and transabdominal hysterectomy in treatment of uterine benign diseases.[Methods]A retrospective study was performed on 121 cases of hysterectomy (58 cases conducted vaginal hysterectomy, 63 cases conducted transabdominal hysterectomy due to the benign pathological changes of uterus during May 2006 - June 2008. Operation time, bleeding volume, postoperative period of hospitalization, postoperative period of exhaust, postoperative analgesic usage, postoperative morbidity, and postoperative complications of the 2 groups were compared.[Results]The differences of operation time and bleeding volume between the 2 groups were not significant (P＞0.05); in vaginal hysterectomy group the postoperative periods of exhaust and hospitalization were short, the postoperative usages of analgesics and morbidity were lower than those of patients with transabdominal hysterectomy(P＜0.05).[Conclusion] Compared with transabdominal hysterectomy, vaginal hysterectomy has the advantage of short recovery time and less trauma ,which accords with the view of minimally invasive.