非脱垂子宫经腹子宫全切除术与经阴道子宫全切除术效果对比研究  

A comparative study of transabdominal hysterectomy and transvaginal hysterectomy of the non-prolapsed uterus

作　　者：马丽[1] 

机构地区：[1]安庆市第一人民医院妇产科,安徽246004

出　　处：《社区医学杂志》2013年第23期4-6,共3页Journal Of Community Medicine

摘　　要：目的比较非脱垂子宫经腹子宫全切除术(transabdominal hysterectomy,TAH)与经阴道子宫全切除术(prolapsed transvaginal hysterectomy,TVH)的临床效果。方法选择2009年7月—2013年1月收治的非脱垂子宫良性病变患者128例,随机分为对照组78例和观察组50例,对照组行TAH,观察组行TVH,两组术后均随访3个月,比较两组手术情况及术后生活质量受影响情况。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果手术时间、术中出血量、术后排气时间、下床活动时间、住院天数对照组分别为(90.7±9.4)min、(145.4±9.8)ml、(24.1±1.4)、(36.2±9.7)h、(12.9±2.1)d,观察组分别为(50.5±8.3)min、(126.7±8.9)ml、(12.6±0.5)、(29.6±3.6)h、(6.2±2.3)d,两组比较差异均有统计学意义(t=24.688、10.911、55.782、4.607、16.965,均P<0.05)。术后性生活质量受影响对照组占10.3%,观察组为0,两组比较差异有统计学意义(χ2=3.860,P<0.05)。结论 TVH较TAH临床效果肯定,对术后患者性生活质量影响小,值得推广。Objectlve To compare the clinical efficacy of transabnominal hysterectomy （TAH） and prolapsed transvaginal hys- terectomy of the uterus（TVH）.Methods A total of 128 patients with benign non-prolapsed uterus treated from July 2009 to Jan- uary 2013 were randomly divided into control grpup（n=78） and observation group（n=50）.Control group underwent TAH and observa- tion group underwent TVH.Both groups were followed up for 3 months after surgery and compared for their surgical cases and the quality of life of affected cases.T-test was used for measurement data and）（： test for count data,the result of P〈0.05 was consid- ered statistically significant.Results In control group,the operation time,amount of bleeding,time to first postoperative flatus,time to ambulation and hospital stay were （90.7 ±9.4） min,（145.4 ±9.8） m1,（24.1 ±1.4） ,（36.2 ±9.7）h,and （12.9 ±2.1） d respectively,and in observation group they were （50.5 ±8.3） min,（126.7 ±8.9） m1,（12.6 ±0.5） ,（29.6 ±3.6）h,and （6.2 ±2.3）d respectively.There was significant difference between the two groups（t=24.688,10.911,55.782,4.607,16.965,P〈0.05）.The quality of sexual life was affected postoperatively in 10.3% of the cases in control group,while none was affected in observation group,the difference was statistically significant（x^2=3.860,P〈0.05）.Conclusion TVH is more effective than TAH and has less influence on postoperative quality of sexual life,therefore,it is worthy of promotion.

关 键 词：非脱垂子宫 经腹子宫全切除术 经阴道子宫全切除术 子宫良性病变 性生活质量 

分 类 号：R713.42[医药卫生—妇产科学]