非脱垂阴式子宫全切术91例效果评价  

Effect evaluation of 91 cases of non-prolapsed vaginal hysterectomy

作　　者：杨会英[1] 张灵武[2] 

机构地区：[1]天津市第二人民医院,300192 [2]宁夏医科大学附属医院妇产科

出　　处：《中国实用医刊》2014年第2期15-17,共3页Chinese Journal of Practical Medicine

摘　　要：目的评价非脱垂阴式子宫切除术的临床效果。方法对92例子宫良性病变患者行阴式子宫切除术（TVH）和同期91例患者行腹式子宫切除术（TAH）的临床资料进行回顾性分析，并用SF-36量表评价TVH术后患者的生存质量。结果TVH手术时间为（107±35）min，手术前后血红蛋白的变化为（14±9）g／L。术中生命体征的波动情况：收缩压波动范围为（14±9）mmHg（1mmHg=0．133kPa），舒张压波动范围为（10±7）mmHg，脉搏波动范围为（12±7）次／min。术后48h内排气53例，术后病率15例，除手术时间外其余各项均明显优于TAH。TVH术中、术后并发症发生率（1．09％）与TAH（5．49％）比较差异无统计学意义。TVH手术前后患者除社会功能外，生理功能、生理角色限制、躯体疼痛，总体健康，活力、情感角色限制、心理健康7个维度差异均有统计学意义。结论TVH患者术中干扰小，术中出血少，术后恢复快、并发症少；TVH患者术后生存质量提高。Objective To evaluate the clinical effect of total vaginal hysterectomy on non-prolapsed uterus. Methods The clinical data of 92 patients with benign uterine diseases treated by total vaginal hysterectomy and 91 patients with benign uterine diseases treated by total abdominal hysterectomy were retrospectively reviewed and made use short form 36 health survey （SF-36） to evaluate the postoperative quality of life. Results The operative time was （107 ± 35 ）min; changed （ 14 ± 9） g/L; the intra-operative vital sign fluctuated range ： contractive pressure scope of hemoglobin was changed range was （ 14 ±9） mm Hg（ 1 mm Hg = 0. 133 kPa）, diastolic pressure changed range was （10 ＋ 7）mm Hg, pulse changed range was（ 12 ±7） meta/min. The time of passage of gas by anus in 48 hours（53 cases）, the postoperative pyrexia（ 15 cases）, except for the operative time, the rest of total vaginal hysterectomy were better than total abdominal hysterectomy. There were no significant differences between the two groups in occurrence of intra- or post- operative complications（TVH： 1.09%, TAH： 5.49% ）. Apart from social function, there were obviously significant differences between pro- or post-operation in physical function, physical role, body pain, general health, vitality, emotional role and mental health in seven respects. Conclusions Total vaginal hysterectomy has the advantages in minimal invasion, less blood loss, rapid recovery and less postoperative complications; the patients＇ quality of life after total vaginal hysterectomy can be improved.

关 键 词：阴式子宫切除术 腹式子宫切除术 

分 类 号：R713.42[医药卫生—妇产科学]