非脱垂子宫阴式全子宫切除术35例分析

    Clinical analysis of 35 cases of transvaginal hysterectomy for non-prolapsed uterus

    • 摘要: 目的:评价非脱垂子宫阴式子宫切除术的手术方法及临床效果。方法:35例阴式子宫切除术为观察组,同期指征相近的35例腹式子宫切除术作为对照组,比较两组手术时间、术中出血量、术后排气时间、术后下床活动时间和术后住院时间。结果:观察组的手术时间与对照组比较差异无统计学意义(P>0.05)。观察组术中出血量、排气时间和术后住院天数均明显少于对照组(P<0.01)。结论:非脱垂子宫阴式子宫切除术如选择好合适的病例,手术成功率高,较腹式子宫切除术损伤小,术中出血量少,腹腔干扰少,术后胃肠功能恢复早,住院时间短,腹壁无瘢痕,符合微创原则,安全可靠,值得临床推广应用。

       

      Abstract: Objective:To appraise the technique and effect of transvaginal hysterectomy (TVH) for non-prolapsed uterus.Methods:Thirty-five cases undergoing TVH were included in the observation group,and 35 cases receiving total abdominal hysterectomy (TAH) acted as control.The average operation time,hemorrhage,time of exhausting,time of out-of-bed activity and postoperative hospital stay were compared and analyzed between the two groups.Results:The operation time had no significant difference between the two groups (P>0.05),but the hemorrhage during operation,time of exhausting,time of out-of-bed activity and posthospital stay in the observation group were obviously less than that in the control (P<0.01).Conclusions:TVH is highly effective for non-prolapsed uterus.Compared with TAH,TVH has the advantages of lower damage,less hemorrhage,reduced abdominal cavity sufferings and interference,higher recovery,shorter postoperative hospital stay and no scar left on the abdominal wall.Therefore,TVH is worthy of popularization in clinical application.

       

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