“⊥”型水压法经阴切除非脱垂大子宫临床研究

STUDY ON THE CLINICAL APPLICATION OF INVERTED T-TYPE HYDROSTATIC VAGINAL TOTAL HYSTERECTOMY

目的探讨非脱垂子宫大于12孕周的患者施行＂⊥＂型水压法经阴子宫切除术的效果。方法施行经阴全子宫切除术患者根据子宫大小分为三组。小于12孕周组226例,12-13孕周组96例,14-16孕周组67例。小于12孕周组采用传统经阴全子宫切除术,12-16孕周的患者施行＂⊥＂型水压法经阴式全子宫切除术。结果三组患者经阴式全子宫切除术均顺利成功,成功率达100%。除患者子宫平均重量存在显著差异外,手术时间、术中出血量、术后肠功能恢复时间、阴道排液时间、体温恢复正常时间、术后住院时间等指标均无显著性差异（P〉0.05）。结论非脱垂大子宫大于12孕周患者采用＂⊥＂型水压法经阴道切除安全可行。

Objective To discuss the clinical effects of inverted T- type hydrostatic total vaginal hysterectomy （TVH） on patients who had a gestation period of 12 weeks. Methods Patients who received TVH were divided into 3 groups according to the size o uterus. There were 226 patients （with the gestation period of less than 12 weeks）in the first group,96 patients（with the gestation period of 12-13 weeks） in the second group, and 67 patients （with the gestation period of 14--16weeks）in the last group. For the group （with the gestation period of less than 12 weeks）, the traditional total hysterectomy was used , and for the other group（with the gestation period of 12-- 16 weeks）, the inverted T- type TVH was applied. Results VTH was performed successfully in the three groups, and the success rate was I00 %. Except that patients＇ average weight of uterus had obvious discrepancy, the other indexes like the operation time. the amount of bleeding during the operation, the intestinal function recovery time after operation, the vaginal liquid discharge time, the time of body temperature returning to normal and the stay- in - hospital time after operation showed no significant differences（ P 〉0.05）. Conclusion The inverted T-type hydrostatic TVH can be performed safely non - prolapsed big uterus.