非脱垂子宫经阴道全子宫切除术探讨  

Vaginal Hysterectomy in Non-prolapsed Uterus

作　　者：李莉[1] 涂怀东 胡蓉[1] 

机构地区：[1]桃江县人民医院妇产科,湖南桃江413400

出　　处：《实用临床医学（江西）》2011年第5期48-50,共3页Practical Clinical Medicine

摘　　要：目的探讨非脱垂子宫经阴道全子宫切除术的临床效果。方法将100例行子宫全切术的子宫及宫颈良性病变患者按随机数字表法分为2组,每组50例。TVH组采用经阴道全子宫切除术(TVH)治疗,TAH组采用经腹全子宫切除术(TAH)治疗,对2组术中、术后的情况进行比较。结果 TVH组的手术时间和术中出血量分别为(90.0±19.5)min和(162.8±69.5)mL,TAH组的手术时间及术中出血量分别为(122.4±19.6)min和(245.5±70.6)mL,2组手术时间和术中出血量比较差异均有统计学意义(均P<0.01)。TVH组术后进食、排气、下床活动时间早,术后病率小、疼痛轻、住院时间短,明显优于TAH组(P<0.05或P<0.01)。结论 TVH具有创伤小、术后恢复快、住院时间短的优点,是一种理想的子宫切除手术。Objective To investigate the clinical effects of vaginal removal of the non-prolapsed uterus.Methods One hundred patients with benign uterine and cervical diseases were randomly assigned to receive either total vaginal hysterectomy（TVH group,50 patients） or total abdominal hysterectomy（TAH group,50 patients）.Preoperative and intraoperative parameters were analyzed.Results Compared with TVH group,the operation time and intraoperative blood loss significantly increased in TAH group [（90.0±19.5） minutes vs（122.4±19.6）minutes and（162.8±69.5）mL vs（245.5±70.6） mL,respectively;P〈0.01].Patients in TVH group had earlier postoperative eating,exhaust and off-bed activity time,less postoperative morbidity,less pain,and shorter length of stay than patients in TAH group（P〈0.05 or P〈0.01）.Conclusion TVH is an ideal surgical method for non-prolapsed uterus with advantages of small wounds,fast postoperative recovery and short hospital stay.

关 键 词：非脱垂子宫 经阴道全子宫切除术 经腹全子宫切除术 

分 类 号：R713.4[医药卫生—妇产科学]