非脱垂子宫经阴道和经腹部切除术对比分析  

Clinical analysis of transvaginal and transabdominal hysterectomy for non-prolapsed uterus.

作　　者：林琼[1] 曾荔萍[1] 李素洁[1] 

机构地区：[1]汕头大学医学院第一附属医院妇产科,515041

出　　处：《中国实用妇科与产科杂志》2004年第7期410-411,共2页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的　探讨非脱垂子宫经阴道切除术的优点、手术要点及适应证。方法　 2 0 0 1年 5月至 2 0 0 2年 12月间汕头大学医学院第一附属医院对非脱垂子宫行经阴道切除术 (TVH) 12 8例 ,与同期指征相近的经腹全子宫切除术 (TAH) 16 0例进行分析比较。结果　TVH组手术均成功 ,无术中、术后并发症 ,手术时间、肛门排气时间、术后下床活动时间及住院时间和伤口疼痛程度均小于TAH组 ,两组差异有显著性 (P <0 0 5 ) ,出血量差异无显著性 (P >0 0 5 )。结论　TVH损伤小 ,恢复快 。Objective To assess the advantages,operative postulates and indications of transvaginal hysterectomy for non prolapsed uterus.Methods The transvaginal hysterectomy (TVH) for non prolapsed uterus in 128 cases were compared with the transabdominal hysterectomy (TAH) in 160.They were chosen randomly from 2001 5 to 2002 12.Results Compared with the TAH group,the TVH group,which was operated successfully without complications during or after operation,had a significantly reduction in operation time,anus exhaustion,the first time to move about,hospitalization time and postoperative pain(P<0 05).There was no significant difference in volume of blood loss in the two groups(P>0 05).Conclusion With less damage and quicker recovery,the TVH is a good operative method.

关 键 词：非脱垂子宫 经阴道子宫切除术 经腹部子宫切除术 手术要点 适应证 

分 类 号：R713.42[医药卫生—妇产科学]