非脱垂性子宫阴式切除术在基层医院的应用  

The applications of vaginal hysterectomy of non-prolapsed uterus lesion in primary hospital

作　　者：雷莉 赵枫 

机构地区：[1]襄樊市襄阳区人民医院妇产科,湖北省襄樊441000

出　　处：《中国基层医药》2011年第4期491-492,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探索非脱垂病变子宫阴式切除术的技术要点及在基层单位的应用价值。方法选取活动无粘连的子宫肌瘤、腺肌瘤、功能性出血而无子宫脱垂及恶性病变患者140例，其中80例行阴式子宫切除术（观察组），60例行腹式子宫切除术（对照组），回顾分析两组患者的临床治疗效果。结果观察组术中出血量（150±23）ml、手术时间（65±14．0）min、体温恢复时间（3±0．5）d、肛门排气时间（14±1．8）h、住院时间（5±0．8）d较对照组（243±41）ml、（90±27．0）min、（4±0．8）d、（26±2．7）d、（5±0．8）d均减少（均P〈0．01），且无一例中转开腹。结论对活动、无粘连的子宫肌瘤、腺肌瘤、功能失调性子宫出血，阴式切除子宫术是安全可行的，具有创伤小，出血少，住院时间短，恢复快等优点，更适合基层，值得推广。Objective To explore the application value and techniques of vaginal hysterectomy of non-prolapsed uterus lesion in primary hospital. Methods 140 cases who suffered from uterine fibroid without adhesion, glandular fibroids,functional bleeding without uterine prolapse and malignant disease were selected and divided into observation group（ 80 cases with vaginal hysterectomy）and control group （60 cases with routine abdominal hysterecto- my）. Then the clinical treatment effect was analyzed. Results Compared with control group, peri-operative bleeding （ 150 ± 23 ） ml vs（243 ± 41 ） ml, operation time （ 65 ± 14.0） vain vs （ 90 ± 27.0） min, body temperature recovery time （ 3 ± 0.5 ） d vs（ 4 ± 0.8 ） d, anus exhaust time （ 14 ± 1.8 ） h vs （ 26 ±2.7 ） h, the length of time （ 5 ±0.8 ） d vs （ 11 ± 2. 9 ）d in observation group were all reduced, differences were significant （all P 〈 0.01 ）and no case was transferred to opening appendectomy. Conclusion For these disease including uterine fibroids with no adhesion, glandular fibroid uterine bleeding, the vaginal hysterectomy was safe and feasible, and had the advantage of smaller trauma, less bleed- ing, shorter hospitalization time, faster recovery etc. It was worthy to be popularized in primary hospital.

关 键 词：非脱垂子宫 子宫切除术 

分 类 号：R713[医药卫生—妇产科学]