阴式与经腹子宫切除术的临床比较  

Vaginal hysterectomy versus open hysterectomy:A clinical comparison

作　　者：单丽芳[1] 范作升[1] 

机构地区：[1]山东省高密市人民医院妇产科,高密261500

出　　处：《中国微创外科杂志》2004年第2期108-109,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的　评价阴式子宫切除术的临床应用价值。　方法　对 118例子宫良性病变经阴道子宫切除 (阴式组 )临床资料进行回顾性分析 ,并与经腹子宫切除 (腹式组 ) 12 4例进行比较。　结果　阴式组手术时间 (5 0 1± 15 3)min ,术中出血量(15 0 4± 5 6 )ml、术后疼痛用止痛药例数 (2 6例 )、术后病率 (42例 )、下床活动时间 (2 6 4± 6 3)h及住院时间 (5 2± 1 2 )d均明显少于腹式组 (70 3± 12 4 )min ,(2 12 2± 70 3)ml,12 4例 ,94例 ,(48 5± 12 1)h ,(8 2± 2 2 )d ,P =0 0 0 0 ,术中、术后并发症发生率 (0 8% ,1/118)与腹式组 (5 6 % ,7/12 4 )无显著性差异 (χ2 =2 982 ,P =0 0 84 )。　结论　阴式子宫切除术创伤小 ,术后恢复快 ,优于开腹子宫切除术。Objective To evaluate the clinical application of vaginal hysterectomy. Methods Clinical data of 118 patients with benign uterine diseases treated by vaginal hysterectomy (Vaginal Group) were retrospectively reviewed and were compared with those of 124 patients who underwent open hysterectomy (Open Group). Results The operative time (50 1 min±15 3 min), the intraoperative blood loss (150 4 ml±56 ml), the number of patients with a need for postoperative analgesics (26 cases), the postoperative pyrexia (42 cases), the time to first getting out of bed (26 4 h±6 3 h) and the length of hospitalization (5 2 d±1 2 d) in the Vaginal Group were significantly less than those in the Open Group (70 3 min±12 4 min, 212 2 ml±70 3 ml, 124 cases, 94 cases, 48 5 h±12 1 h, 8 2 d±2 2 d, respectively; P =0 000). There were no statistical significances between the two groups in occurrence of intra- or post- operative complications (Vaginal Group: 0 8%, 1/118, Open Group: 5 6%, 7/124; χ 2=2 982, P =0 084). Conclusions Vaginal hysterectomy has the advantages over open hysterectomy in minimal invasion and rapid recovery.

关 键 词：阴式子宫切除术 子宫良性病变 经腹子宫切除术 

分 类 号：R713.4[医药卫生—妇产科学]