非脱垂良性病变大子宫行改良阴式全切术的临床评价  

The clinical efficacy of improved transvaginal hysterectomy in non-prolapse big uterus

作　　者：周丹[1] 孟庆伟[1] 崔颖[1] 伍凤莉[1] 吕秋波[1] 张毅[1] 

机构地区：[1]北京医院妇产科,北京100730

出　　处：《中国临床医生杂志》2014年第1期32-33,36,共3页Chinese Journal For Clinicians

基　　金：北京市科技计划项目(D101100050010070)

摘　　要：目的改良阴式子宫切除术治疗非脱垂良性病变大子宫的临床应用效果。方法回顾性分析非脱垂子宫大于孕12周的良性病变患者98例,68例行改良阴式子宫切除术(改良组),同期30例行经腹子宫切除术(开腹组),对两组临床资料进行回顾性分析。结果改良组手术成功率100%,无1例发生副损伤或转为开腹手术。改良组手术时间、出血量、排气时间、下床活动时间、住院时间及术后病率均明显少于开腹组,差异有显著性(P<0.05)。两组子宫平均重量比较,差异无显著性(P>0.05)。结论治疗非脱垂良性病变大子宫,与经腹子宫切除术相比,如果掌握手术适应证和手术技巧,改良的阴式子宫切除术具有手术时间短,术中出血少,术后恢复快等优势,是一种安全、有效的子宫切除术式。Objective To explore the clinical efficacy of improved TVH . Method A retro spective analysis was made on clinical date of 68 cases improved TVH（ Vaginal Group） and 30 cases of abdominal total hysterectomy（ Ab- dominal Group）. The patient perioperative condition in two groups was compared and analyzed. Result There were statistically significant differences on the operation time, intraoperative bleeding, period of exhaust, out-of-bod activi- ty, average hospital days and postoperative morbidity between the Vaginal Group and the Abdominal Group （P〈 0.05 ）. There were no statistically significant differences on sizes of uterus between two groups（P〉0.05 ）. Conclu- sion Improved transvaginal hysterectomy is superior to abdominal hysterectomy in big non-prolapse uterus, Improved transvaginal hysterectomy has little damage, quick recovery and shorter length of hospital stay, few complications. It is worth to be generalized in clinic.

关 键 词：改良的阴式子宫切除术 经腹子宫切除术 临床效果 

分 类 号：R713.42[医药卫生—妇产科学]