新式非脱垂子宫阴式全子宫切除术45例报告

Transvaginal hysterectomy for no-prolapse uterus:a report of 45 cases

目的 探讨非脱垂子宫经阴道改良切除的可行性及方法。方法 将10 3例子宫肌瘤、子宫腺肌瘤、功能性子宫出血等需行全子宫切除术的患者随机分为两组,常规经腹式全子宫切除术(腹式组) 5 8例,经阴道全子宫切除术(阴式组) 4 5例,比较两种手术方法的优劣。结果 阴式组较腹式组手术时间短,术中出血少,术后痛苦少;4 8h内肛门排气阴式组4 0例(88 .9% ) ,腹式组31例(5 3. 4 % ) ;平均住院天数阴式组5 .1d ,腹式组7 1d。结论 新式非脱垂子宫的阴式全子宫切除术相对于经腹式全子宫切除术有一定的优势,但要严格选择其手术适应证。

Objective The technique and experience of the transvaginal hysterectomy for no-prolapse uterus.Methods Divided 103 cases hysteromyoma,uterus adenomyoma and dysfunction uterus bleeding those must be operated into two groups random.The transabdomen hysterectomy(abdomen group) are 58 cases.The transvaginal hysterectomy(vaginal group) are 45 cases.Results The group of transvaginal hysterectomy have a short operation time,a less bleeding and a few pain after operation.The anus exsufflation are 40 cases(88.9%) in vaginal group but abdomen group are 31 cases(53.4%) in 48 hours.The average hospitalization day are 5.1 days in vaginal group but abdomen group are 7.1 days.Conclusions The transvaginal hysterectomy for no-prolapse uterus is a saft and better than transabdomen hysterectomy.The operative indication must be selection seriously.