非脱垂子宫经阴道切除术的临床分析

Must escapes hangs the womb after the vagina excision method clinical analysis

目的探讨非脱垂子宫经阴道切除的临床价值。方法回顾性分析98例非脱垂子宫切除术，其中28例经阴道子宫切除、33例经腹腔镜子宫切除、37例经腹子宫切除，比较术前术后情况，包括年龄、产次、盆腔手术史、子宫大小以及术后子宫重量、术中出血量、手术时间、输血情况、住院时间、住院总费用等。结果28例经阴道子宫切除无1例中转开腹，无术中并发症发生。3组比较，切除的子宫重量无统计学意义；经阴道子宫切除组在手术时间、排气时间、住院总费用方面优于其他两组；住院时间经阴道组与经腹腔镜组相近，均优于开腹组。结论非脱垂子宫经阴道切除术可行、创伤小、费用低，值得临床推广。

Objective The discussion must escapes hangs the womb the clinical value which excises after the vagina.Methods The review analysis 98 examples must escape hang the womb excision method, 28 examples after vagina womb excision, 33 examples after peritoneoscope womb excision, 37 examples after abdomen womb excision, The review analysis 98 examples must escape hang the womb excision method, 28 examples after the vagina womb excision, 33 examples after the peritoneoscope womb excision, 37 examples after the abdomen womb excision, after in front of the technique the situation, after the age, produce the time, the pelvic cavity surgery history, the womb size as well as the technique in the womb weight, the technique bleed the quantity, the surgery time, the blood transfusion situation, in hospital time, are hospitalized the total expense and so on. Results 28 examples excise the non-1 example relay after the vagina womb to operate the abdomen, does not have in the technique the complication occurrence. 3 groups of comparisons, excision womb weight non-statistics significance; After the vagina womb excision group in the surgery time, the exhaust time, is hospitalized the total expense aspect to surpass other two groups; The in hospital time with is close after the vagina group after the peritoneoscope group, surpasses the abdomen group. Conclusion Must escapes hangs the womb feasible after the vagina excision method, the wound small, the expense is low, is worth the clinical promotion.