改良阴式子宫全切术120例临床分析

Clinical Analysis of 120 Cases of Partly Intrafascial Transvaginal Hysterectomy

目的:探讨改良阴式子宫全切术的临床效果。方法:回顾分析我院2002年1月至2007年12月间120例行改良阴式子宫全切术患者的临床资料,与同期80例行筋膜外阴式子宫全切术患者相比较,比较两组术中、术后情况。结果:两组手术时间、术中出血量及术后病率差异无统计学意义。两组术后排尿困难发生率、随访阴道残端肉芽组织发生率、阴道顶端活动度差异有统计学意义。结论:改良阴式子宫全切术损伤小,术后恢复快,并发症少,对术后性生活影响小,是一种值得推广的术式。

Objective：To explore the clinical efficacy of partly intrafascial transvaginal hysterectomy （TVH）. Methods：A retrospective analysis was made on clinical date of 120 cases partly intrafascia TVH and 80 cases of extrafascial TVH from January 2002 to December 2007 in our hospital. The patient perioperative condition in two groups was compared and analyzed.Results： There were no statistically significant differences on operative time, blood loss during surgery, and postoperative morbidity between the two groups. There were statistically signifcant differences on dysuria, the polyps and movable degree of vaginal stump after surgery between two groups （ P 〈 0.05）. Conclusions. Partly intrafascial transvaginal hysterectomy has little damage, quick convalescence, few complications, and little affect on sex life.