改良阴式子宫切除术临床效果评价  

Clinical effect of improved total vaginal hysterectomy

作　　者：李霞[1] 

机构地区：[1]安徽省阜阳市第五人民医院妇产科,236000

出　　处：《蚌埠医学院学报》2009年第8期693-695,共3页Journal of Bengbu Medical College

摘　　要：目的:通过对非脱垂有盆腔手术史及大子宫改良阴式子宫切除术与开腹子宫切除术进行比较,评价改良阴式子宫切除术的优越性及其在基层医院开展的可能性。方法:对26例非脱垂大子宫及有盆腔手术史者行改良阴式子宫切除术(阴式组),并与同期26例开腹子宫切除术进行比较。结果:阴式组肛门排气时间、术后发热时间和住院时间均明显少于腹式组(P<0.01),但两组手术时间和术中出血量差异均无统计学意义(P>0.05)。结论:改良阴式子宫切除术与开腹子宫切除术相比术后恢复快。对于有盆腔手术史及大子宫者也是安全可行的,适合在基层医院开展。Objective： To evaluate the improved total vaginal hysterectomy （TVH）, and to explore its application in basic level hospitals by comparing TVH and total abdominal hysterectomy （TAH） for patients with non-prolapse uterus and a history of pelvic surgery. Methods： Improved TVH was conducted to 26 cases of large non-prolapsed uterus and with a history of pelvic surgery, and the result was compared with that of the cases receiving TAH at the same period. Results ： The time of anal discharge, postoperative fever and hospital stay were significantly shorter in the TVH group than those in the TAH group（ P 〈 0. 01 ）, but there was no significant difference in operation time or bleeding amount between the two groups （ P 〉 0.05 ）. Conclusions ： The recovery is faster in the cases receiving improved TVH than in those receiving TAH. The improved TVH is also safe to the patients with a history of pelvic surgery and big uterus. It can be popularized in basic level hospitals.

关 键 词：子宫切除术 经阴道 子宫疾病 盆腔手术史 

分 类 号：R713.42[医药卫生—妇产科学] R711.74[医药卫生—临床医学]