非脱垂子宫阴式全子宫切除术69例临床分析

目的：探讨非脱垂子宫阴式全子宫切除术的临床应用价值与安全性.方法：将139 例子宫肌瘤手术患者随机分为阴式全子宫切除术（VTH）69 例和腹式子宫切除术（ATH）70 例,观察两组患者的手术时间、术中出血量、术后3 d 内平均体温、术后肛门排气时间、下床活动时间、术后住院天数.结果：两组患者手术时间和术中出血量比较,差异无统计学意义（P〉0.05）,VTH 组术后3 d 内平均体温明显低于ATH 组（P〈0.05）,术后肛门排气时间、下床活动时间及术后住院天数比较,VTH 组明显缩短（P〈0.05）.结论：经阴道全子宫切除术具有创伤小、不需昂贵复杂的医疗设备、术后疼痛轻、住院时间短、腹壁无切口、疤痕等优点,具有广阔的临床应用前景.

Non Prolapsed Uterus Vaginal Hysterectomy Clinical Analysis of 69 Cases

Objective ：To explore the clinical value and safety of the non-prolapsed uterus vaginal hysterectomy. Methods ：139cases of uterine myoma operation were randomly divided into a vaginal hysterectomy （ VTH ） in 69 cases and abdominal hysterectomy （ ATH ） in 70 cases, were observed in two groups of patients with operation time, intraoperative blood loss, postoperative3 d, average temperature, postoperative anal exhaust time, time of ambulation, the postoperative hospital stay.139 uterine fibroid surgery patients were randomly divided into 70 cases of vaginal hysterectomy （VTH） of 69 cases and abdominal hysterectomy （ATH）, two groups were observed operative time, blood loss, postoperative 3. Results ： The two groups of patients with operation time and bleeding in the operation, the difference was not statistically significant （P〉0.05）, VTH group after3 D mean body temperature was significantly lower than that in ATH group （P〈0.05）, postoperative anal exhaust time, ambulation time and postoperative hospital stay in comparison, VTH group was significantly shorter （P〈0.05）. Conclusion ： Transvaginal hysterectomy with less trauma, no need for expensive complex medical equipment, less postoperative pain, shorter hospitalization time and without abdominal incision, sears and other advantages, has broad prospects of clinical application.