非脱垂大子宫经阴道切除术120例分析

Clinical Analysis of 120 Cases of Transvaginal Hysterectomy of Non-prolapsed Greater Uterus

目的探讨非脱垂大子宫经阴道切除术的临床价值。方法选择2007年2月至2009年2月在广东省博罗县人民医院行经阴道子宫切除(TVH)120例作为观察组,经腹子宫切除(TAH)136例作为对照组,观察术中、术后情况。结果TVH组手术成功率98.33%,膀胱副损伤发生率0.008%。观察组与对照组比较,手术时间分别为(93.1±21.6)min,(88.3±14.8)min;出血量分别为(90.0±25.5)mL,(98.7±30.6)mL,差异无显著性,P>0.05。术后肠功能恢复时间分别为(24.9±7.8)h,(50.3±8.6)h;术后平均住院日分别为(5.3±1.2)d,(8.7±1.6)d;术后镇痛率分别为30.5%、97.1%;术后阴道残端息肉发生率分别为9.3%、1.5%,均P<0.05。结论非脱垂大子宫阴式切除术创伤小,术后康复快,手术安全可行。

Objective To discuss the influence factors of transvaginal hysterectomy of non-prolapsed greater uterus. Methods From February 2007 to February 2009,120 cases who underwent transvaginal hysterectomy（TVH） were chosen as study group, 136 cases who underwent transabdominal hysterectomy（TAH） were chosen as control group in our hospital.To evaluate the intraoperative and postoperative condiction of patients between two groups. Results The operation success rate of TVH group was 98.33%, bladder complication incidence rate was 0.008%. Comparing study group and control group, the operating time was （93.1±21.6） min and （88.3±14.8）min, respectively; the blood loss was （90.0±25.5）mL and （98.7±30.6）mL, Respectively, apeared no difference, P〉0.05. The postoperative bowel movement recovery time was （24.9±7.8）h and （50.3±8.6）h, hospital stay was （5.3±1.2）d and （8.7±1.6）d, analgesia rate was 30.5% and 97.1% ,vaginal inflammatory polypus incidence rate was 9.3% and 1.5% ,Respectively, all P〈0.05. Conclusion The transvaginal hysterectomy of non-prolapsed greater uterus performed less trauma, shorten postoperative rehabilitation phase,and was safe and validity.