子宫全切的手术方式比较

Clinical study on operation procedure for hysterectomy

目的:探讨4种不同途经的子宫全切术的临床效果。方法:回顾性分析378例子宫全切除术患者的临床资料,其中行传统腹式子宫全切除术(TAH)130例(TAH组),改良腹式小切口子宫全切除术(MAH)90例(MAH组),阴式子宫全切除术(TVH)53例(TVH组),腹腔镜辅助阴式子宫全切除术(LAVH)105例(LAVH组),比较各组患者术中及术后的情况。结果:不同途径子宫全切除术的平均手术时间,术中平均出血量,术后使用抗生素时间和肛门排气时间,术后体温升高的发生率,术后平均住院时间,平均治疗费用存在着显著差异,具有统计学意义。结论:不同途径子宫全切除术各有优势,且互不能完全替代,应根据患者的情况,手术医生的技术水平,医院的条件等综合考虑。

Objective ：To investigate the effects and outcomes of four procedures for hysterectomy.Methods：Retrospectively ,we analyzed the clinical characteristics of 378 cases who respectively received hysterectomy by total abdominohysterectomy （TAH, 130 cases）, modified abdominhysterectomy （MAH, 90 cases）,transvaginal hysterectomy （TVH, 53 cases） or laparoscopic assisted vaginal hysterectomy （LAVH, 105 cases）,and compared their effects and outcomes.Results：There was significant difference in the average operation time,the volume of hemorrhage,the average time of antibiotic administration and bowel function recovery ,the incidence of fever,the average hospital stay after operation among the four procedures.Conclrsion：Different procedures for total hysterectomy have their own advantages and disadvantages.Microinvasive surgery by laparoscopy for hysterectomy will be mainstream in the future.