新式非脱垂子宫经阴道切除术的临床观察

Clinical Study on the New Trans Vaginal Hysterectomy

目的：探讨新式非脱垂子宫经阴道切除术的临床应用价值。方法：分析2000年12月～2005年12月间120例非脱垂子宫阴式子宫全切除术和120例同期指征相近的腹式子宫切除术的手术时间、术中出血量、术后体温、排气时间、下床活动时间、住院天数及术后3～6个月随访情况。结果：新式非脱垂子宫经阴道切除术的120例患者手术均成功，无1例中转开腹，无1例发生严重并发症。新式TVH组与腹式组比较各项指标均有显著差异（P均〈0．01）。结论：用特殊的阴式子宫切除器械，通过对术式改进，使该手术变得简单易行。新式TVH组子宫切除较腹式子宫切除组手术时间短、术中出血量少，腹腔干扰少、术后胃肠功能恢复早、术后疼痛轻、住院时间短，腹壁无疤痕，值得临床推广应用。

Objective： To discuss the clinical practical value of the new transvaginal hysterectomy .（TVH） . Methods： The average operation time, hemorrhage, temperature after operation, time of exhausting, time of moving about off bed, postoperative hospitalization period and the optional visits in the course of 3 - 6 months after operation were determined and analyzed. Results： All of the 120 cases were successful and there was no case of postoperative abdominal incision and no case of serious complications. The two groups have notable differences （ all P 〈0. 01 ） . Conclusion： The new TVH, which adopted special apparatus and improved way of operation is an easy -going surgery, compared with the abdominal hysterectomy, has shorter operating time, less hemorrhage, and reduced abdominal cavity sufferings and interference. After operation, the patients can enjoy the advantages of quicker recovery of abdominal function, less pain, shorter postoperative hospitalization period and no scar left on the abdominal wall. Therefore, the new TVH, which is considered to appreciate the principle of micretraumatic surgery, is worthy of being recommended and put into application.