小子宫阴道式切除术20例临床分析

Clinical analysis of 20 patients with little uterus treated by vaginal hysterectomy

目的探讨阴道式子宫切除术的适应证及临床应用价值。方法对20例子宫小于12孕周,有手术适应证者行阴道式子宫切除术为观察组,取同期相同条件22例行腹式子宫切除术为对照组。结果两组相比,在手术时间、出血量、并发症方面无差异(P>0.05)。而在术后住院期、使用镇痛药物、恢复时间及体温方面相比有显著差异(P<0.05)。结论阴道式子宫切除术创伤小,并发症少,术后恢复快,对子宫小于12孕周值得临床推广和应用。

Objective To explore the indication and clinical value of vaginal hysterectomy.Methods The total vaginal hysterectomy(TVH) was performed in 20 cases of little uterus (uterus<12 gestational weeks)with operative indication as study group,and total abdominal hysterectomy(THE)in 22 patients as control group.Results The mean time of operation,amount of bleeding and complications were not different between groups.The post-operative time of recovery,the post-operative hospitalization period,and the application of analgesic in two groups were significantly different(P<0.05).Conclusion Colpohysterectomy has benefits of being minimaly invasive with a shorter operating time and a quicker recovery for patients.