基层医院经阴道手术治疗子宫疾病的应用分析

Development in operative treatment of metropathy via vagina in local hospitals

目的探讨在基层医院实施微创手术,治疗子宫疾病的有效性和安全性。方法回顾性分析近两年多来湘潭县人民医院行阴式子宫全切术70例与同期开腹子宫手术病人,比较其疗效。结果70例经阴道手术均获成功,手术时间平均为40分钟,出血量平均为50mL,无手术并发症,均为术后第五天出院,术后随访2个月至24个月,均无不良反应。结论阴式手术治疗子宫疾病,手术时间短,创伤小,出血少,明显优于腹式子宫切除术。

Objective To investigate feasibility of performing micro-traumatic operation in local hospitals and to observe effectiveness and safety of total hysterectomy via vagina for treatment of metropathy. Methods The therapeutic effect of 70 cases of total hysterectomy via vagina were retrospectively analyzed and compared with open operation in our hospital in recent 2 years, Results 70 eases of total hysterectomy via vagina were performed successfully. The average operation time was 40 minutes and the bleeding amount was 50mL. There were no operative complications found. The patients were discharged at the fifth day after operation and were followed up for 2 months to 2 years and there were no adverse effects found. Conclusion Total hysterectomy via vagina is superior to abdominal open operation for treatment of metropathy. It has some advantages such as shorter operation time, less trauma and bleeding.