非脱垂子宫经阴道全子宫切除术(附86例临床分析)

Clinical observation of transvaginal hysterectomy for non-prolapsed uterus

目的探讨非脱垂子宫经阴道切除术(TVH)的优点、操作要点及适应证。方法回顾分析TVH86例的临床资料与同期经腹全子宫切除术(TAH)72例进行对比观察。结果TVH组手术均成功,无术中术后并发症,手术时间、术后疼痛、术后肛门排气时间、术后下床活动时间及住院时间两组比较差异均有显著意义(P<0.05),出血量差异无显著意义(P>0.05)。结论TVH损伤小、恢复快,是一种较好的手术方法。

Objective To assess the advantages, operative postulates and indications of transvaginal hysterectomy for non-prolapsed uterus. Methods Retrospective analysis the transvaginal hysterectomy（TVH）for non-prolapsde uterus in 86 cases were compared with the transabdominal hysterectomy（TAH） in 72 cases. Results Compared with the TAH group, the TVH group,which was operated successfully without complications during or after operation, had a significantly reduction in operation time, anus exhaustion, the first time tomoveabout, hospitalization time and postoperative pain（P〈0. 05）. There was no significant difference in volume of blood loss inthetwogroups（P〉0. 05）. Conclusion With less damage and quicker recovery, the TVH is a good operative method.