阴式与腹式子宫切除术的临床应用比较

目的评价非脱垂子宫阴式和腹式全切术的临床效果。方法选择2005年1月～2008年12月在我院妇产科住院的非脱垂子宫患者。其中行阴式子宫全切术31例为实验组,以30例行常规腹式子宫全切术患者为对照组。对两组手术时间、术中出血量、术后病率、术后肛门排气时间、术后平均住院天数等方面进行前瞻性研究。结果阴式组的手术时间、术后病率、肛门排气时间、术后住院天数明显少于腹式组,差异有显著性意义(P<0.01)。阴式组的术中出血量和腹式组相比差异无显著性意义(P>0.05)。结论非脱垂子宫行阴式全切术优于行腹式全切术。

Comparison between Vaginal and Abdominal Hysterectomy in Clinical Application

Objective:To evaluate the clinical effect of non-prolapsed uterus vaginal and abdominal hysterectomy.Methods:Patients with non-prolapsed uterus in obstetric hospitalization in our hospital from January 2005 to December 2008 were observed by dividing into experimental group with 31 cases for vaginal hysterectomy and control group with 30 cases for conventional abdominal hysterectomy.A forward-looking re search was made in the aspects of operation time,intraoperative bleeding,postoperative morbidity,postoperative anal exhaust time,and an average hospital stay in two groups.Results:The operative time,postoperative morbidity,anal exhaust time,postoperative hospitalization days in the vagi nal group were significantly less than those in the abdominal group,with significant difference(P <0.01),except for intraoperative bleeding(P > 0.05) between the two groups.Conclusion:Non-prolapsed uterus vaginal hysterectomy is superior to abdominal hysterectomy.