非脱垂子宫经阴道切除与经腹切除临床效果对比

A comparison of therapeutic effects between transvaginal hysterectomy and transabdominal hysterectomy for nonprolapsed uterus

目的探讨非脱垂子宫经阴道切除与经腹切除两种手术方法临床疗效的优缺点。方法回顾性对比分析2006年1月至2007年12月在合肥市妇幼保健院接受以上两种子宫切除术的病例共79例的临床资料。结果阴式组术中出血量少于腹式组,差异有显著性意义(P<0.05),阴式组手术时间、术后排气时间、术后住院时间均明显短于腹式组,差异均有显著性意义(P<0.01)。阴式组无1例术后并发症。结论非脱垂子宫经阴道切除符合微创手术原则,具有对病人损伤小、术后恢复快等优点,值得临床推广应用。

Aim To investigate the therapeutic effects of transvaginal hysterectomy （TVH） and transabdominal hysterectomy （TAH） for nonprolapsed uterus. Methods Data of 79 patients who underwent hysterectomy from January 2006 to December 2007 in hefei maternal and child health hospital were analyzed respectively. Results Blood loss during operation in TVH group was significantly better than that in TAH group （P 〈 0.05 ）. Mean operation time, time to first passing flatus, hospital stay in TVH group were significantly better than those in TAH group（P 〈 0.01 ）. There was no postoperative complication in TVH group. Conclusion TVH has many merits, such as less trauma,quicker recovery., no scar in abdomen and should be widely used in the clinic practice.