非脱垂子宫经阴道切除与经腹切除临床效果对比  

A comparison between vaginal hysterectomy and total abdominal hysterectomy.

作　　者：刘淼[1] 董能慧[2] 张洪文[1] 

机构地区：[1]中南大学湘雅二医院妇产科,湖南长沙410011 [2]湘南学院附属医院妇产科,湖南郴州423000

出　　处：《临床和实验医学杂志》2007年第1期39-40,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨非脱垂子宫经阴道和经腹切除两种手术方法临床疗效的优缺点。方法回顾性对比分析2003年4月至2006年6月在湘南学院附属医院接受以上两种子宫切除术的病例共124例的临床资料,腹式组60例,阴式组64例,比较两组手术时间、术中出血量、术后镇痛用药率、术后排气时间、住院时间、手术费用及术后并发症。结果阴式组术中出血量、平均手术时间、术后镇痛用药均少于腹式组,术后排气时间、住院时间明显短于腹式组,差异均有显著性(P<0.01)。术后并发症两组各1例。结论非脱垂子宫经阴道切除符合微创手术原则,具有对病人的损伤小、术后恢复快、并发症少、住院时间短的优点。Objective To investigate the therapeutic effects of total abdominal hysterectomy（TAH） and vaginal hysterectomy（VH）. Methods Data of 124 patients who underwent hysterectomy from April 2003 to June 2006 in our hospital were analysed respectively. Mean operation time, blood loss during operation, analgesic use after operation, time to first passing flatus, hospital stay and complications were compared between TAH group （n = 60） and VH group （ n = 64）. Results Mean operation time, blood loss during operation, analgesic use after operation, time to first passing flatus, hospital stay in VH group were significantly better than those of TAH group （ P 〈0.01）, there was a postoperative complication in each group. Conclusion VH has many merits, such as less trauma, less blood loss, quicker recovery, no scar in abdomen and should be widely used in the clinic practice.

关 键 词：阴式子宫切除术 腹式子宫切除术 

分 类 号：R713[医药卫生—妇产科学]