非脱垂子宫阴式切除术118例临床分析  

Clinical analysis of transvaginal hysterectomy of non-prolapsed uterus in 118 cases

作　　者：刘建华[1] 梅剑娟 杨纪实[1] 

机构地区：[1]泰兴市中医院妇产科,江苏泰兴225400

出　　处：《中国计划生育和妇产科》2009年第6期25-26,共2页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的探讨非脱垂子宫阴式切除术的临床应用价值。方法2006年1月至2009年1月对非脱垂子宫经阴道子宫切除术(transvaginal hysterectomy,TVH)118例作为观察组,与同期指征相近的经腹子宫切除术(total abdominal hysterectomy,TAH)100例作为对照组,观察手术时间、出血量及术后情况。结果TVH组手术成功率为100%,TVH组与TAH组比较,手术时间、出血量无显著差异(P>0.05)。肛门排气时间及术后平均住院日均少于TAH组,两组差异有非常显著性(P<0.05)。结论非脱垂子宫行阴式切除术创伤小,手术安全可靠。Objective To study the clinical value of transvaginal hysterectomy （TVH） of non - prolapsed uterus. Methods The data resulted from 118 cases under transvaginal hysterectomy of non - prolapsed uterus in observation group and 100 cases with similar indication under total abdominal hysterectomy （TAH） in control group. The operation time, hemorrhage volume and postoperative situation was observed. Results The success rate of the operation was 100% and there was no difference of operation time and hemorrhage volume between two groups （P 〉 0. 05）. Anus exhaust time and average postoperative hospitalization days of TVH group was shorter than that of TAH group and there was remarkable difference between two groups （P 〈 0.05）. Conclusion The surgery of transvaginal hysterectomy of non - prolapsed uterus was so less trauma and safe.

关 键 词：非脱垂子宫 经阴道切除术 经腹全子宫切除术 

分 类 号：R713.42[医药卫生—妇产科学]