经阴道非脱垂子宫切除术与经腹子宫切除术的对比分析  

Clinical analysis of transvaginal hysterectomy for non-prolapsed uterus and transabdominal hysterectomy

作　　者：刘山[1] 魏巍[1] 房娟[1] 王黎黎[1] 张映红[1] 

机构地区：[1]安徽省铜陵市妇幼保健院妇科,244000

出　　处：《安徽医学》2014年第4期476-478,共3页Anhui Medical Journal

摘　　要：目的：探讨经阴道非脱垂子宫切除术临床疗效与安全性。方法对100例非脱垂子宫良性病变患者分别行经腹子宫切除术（45例，TAH组），经阴道非脱垂子宫切除术（55例，TVH组），比较两组患者的手术情况、术后恢复及并发症发生等情况。结果TVH组患者手术时间、术后病率（术后体温＞38℃）、腹胀情况、术后排气时间、术后镇痛、术后住院时间和术后并发症发生率均少于TAH组（P＜0．05），差异有统计学意义；TVH组和TAH组术中出血量分别为（165±42）mL和（160±38）mL，差异无统计学意义（P＞0．05）。TVH组中转开腹1例（1．8％），术中膀胱损伤1例（1．8％），术后内出血1例（1．8％）。患者术后均获得随访1个月～3年。1例出现阴道残端炎性息肉，经摘除后痊愈。结论经阴道非脱垂子宫切除术较腹式子宫切除术时间短、创伤小、术后恢复快，符合微创的原则。Objective To investigate the clinical efficacy and safety of undergoing transvaginal hysterectomy for non -prolapsed uterus.Methods Forty-five cases were treated with the trans-abdominal hysterectomy（ TAH group） ,and 55 cases were operated with the trans-vaginal hysterectomy（ TVH group）.Their operation condition,postoperative recovery and complications were observed.Results The operation time and the average hospital stays of TVH group were less than those of TAH group , and the time of antibiotics applica-tion,anal exhaust time,analgesics utilization rates and complications of TVH group were significantly shorter or lower than those of TAH group（P〈0.05） .The amount of blood loss of the two groups was（165 ±42） ml and（160 ±38） ml,respectively.The operation was suc-cessful in 54 out of 55 cases（1.8%）,operative bladder injuries were found in 1 patient （1.8%）,and postoperative intraperitoneal hemor-rhage in 1 case （1.8%）.All cases were followed-up for 1 month to 3 years.One case with vaginal stump inflammatory polyps was recov-ered after positive therapy.Conclusion Transvaginal hysterectomy for non -prolapsed uterus is less invasive,safer and faster in recovery with less cost.

关 键 词：全子宫切除术 经阴道 全子宫切除术 经腹 

分 类 号：R713.42[医药卫生—妇产科学]