阴式或腹式子宫切除术在非脱垂性子宫良性疾病中的应用比较  

(TAH) in the treatment of non- prolapsed uterus benign diseases

作　　者：李萍 陈正云[2] 

机构地区：[1]余杭区妇幼保健院妇产科,杭州311100 [2]浙江大学医学院附属妇产科医院妇产科,杭州310006

出　　处：《中国性科学》2014年第4期41-43,共3页Chinese Journal of Human Sexuality

摘　　要：目的:探讨阴式或腹式子宫切除术在非脱垂性子宫良性疾病中的应用比较。方法:选取行阴式子宫切除术的非脱垂子宫患者40例为观察组,另选择同期进行腹式子宫切除术的非脱垂子宫患者40例为对照组。结果:两组手术时间和术中出血量比较差异无统计学意义(P>0.05)。观察组患者术后肛门排气时间、术后下床活动时间和术后住院时间均明显短于对照组(P<0.05或P<0.01)。两组术中均未发生并发症,观察组患者术后出现并发症2例,对照组患者术后出现并发症4例。两组术中术后并发症比较差异无统计学意义(χ2=0.18,P>0.05)。两组患者术后3个月均进行随访,阴道残端愈合好,未发现残端肉芽组织增生、息肉形成和盆腔炎性包块等并发症。结论:阴式子宫切除术治疗具有术后胃肠功能恢复快,术后下床活动时间早、术后住院时间短和术后腹部无疤痕等优点,已逐渐取代腹式子宫切除术成为治疗非脱垂子宫良性疾病的首选术式。Objectives：To compare the effects of laparoscopic assisted vaginal hysterectomy（LAVH） and total abdominal hysterectomy（TAH） in the treatment of non- prolapsed uterus benign diseases.Method：40 patients with non- prolapsed uterus to receive LAVH were selected as the observation group,and another 40 patients with non- prolapsed uterus to receive TAH at the same time were the control group.Results：The operation time and the blood loss during the operation of patients in 2 groups were insignificantly different（P〉0.05）.The postoperative anal exhaustion time,out- of- bed activity time and length of stay（LOS） of patients in observation group were significantly shorter than those in control group（P〈0.05 or P 〈0.01）,while the incidence of complications were insignificantly different（2 cases in the observation group and 4 in the control group）（χ^2= 0.18,P〉0.05）.During the 3- month follow- up,vaginal stumps were well healed in both groups.No stump granulation tissue hyperplasia,or formation of polyps,pelvic inflammatory mass and other complications were found in the patients.Conclusion：LAVH was conducive to a quicker recovery of postoperative gastrointestinal function,earlier postoperative out- of- bed activity,shorter LOS,and scarless abdomen.Therefore,it gradually replaced TAH and became the preferred operation in the treatment of non- prolapsed uterus benign diseases.

关 键 词：非脱垂子宫 阴式子宫切除术 腹式子宫切除术 

分 类 号：R711.74[医药卫生—妇产科学]