腹式与阴式子宫切除手术的临床分析

Comparative Study of Abdominal Hysterectomy and Vaginal Hysterectomy

目的探讨子宫良性疾病经腹子宫切除术(TAH)与经阴道子宫切除术(VH)的临床效果。方法回顾性分析50例TAH手术患者(TAH组)、50例VH手术患者(VH组)的临床资料,包括手术时间、术中出血量、术中术后并发症和术后肛门排气时间、术后住院时间。结果手术时间:TAH组(92.00±13.5)min,VH组(70.00±11.5)min;术中出血量:TAH组(215.00±57.6)mL,VH组(140.00±43.5)mL;术后肛门排气时间:TAH(31.2±5.8)h,VH(11.6±7.4)h;术后住院时间:TAH(7.5±1.5)d,VH(3.5±1.0)d。2组以上4类指标比较差异有显著性(P<0.01)。结论与腹式子宫切除术相比较,阴式子宫切除术符合微创手术原则,具有手术时间短、患者损伤小、术后恢复快、术后住院时间短的优点。

Objective To compare the clinical outcomes of total abdominal hysterectomy（TAH）and vaginal hysterectomy（VH）.Methods Two groups,TAH group and VH group,were respectively established by collection of 50 TAH cases and 50 VH cases.The cases were subjected to comparative study on surgery time,intraoperative blood loss and complications,postoperative anal exhaust time,and postoperative days of hospitalization.Results The mean surgery time of TAH group was（92.00±13.5）min vs（70.00±11.5）min of VH group,which showed that TAH took significantly longer than VH（P〈0.01）;the mean intraoperative blood loss of TAH group was（215.00±57.6）mL vs（140.00±43.5）mL of VH group,which indicated that TAH caused notably more blood loss than VH（P〈0.01）;the mean postoperative anal exhaust time of TAH group was（31.2±5.8）h vs（11.6±7.4）h of VH group,which showed the TAH patients took significantly longer for postoperative anal exhaust than the VH patients（P〈0.01）;the postoperative days of hospitalization of TAH group was（7.5±1.5）d vs（3.5±1.0）d of VH group,which indicated that patients were kept notably longer in the hospital after TAH than those after VH（P〈0.01）.Conclusion It suggests that TAH has an advantage over VH in the aspects as follows：shorter surgery time,less intraoperative injury,quicker recovery and shorter period of hospitalization.