非脱垂子宫经阴道全切除术与经腹全切除术疗效对比分析

Effective Comparison between Transvasinal and Transabdominal Hyterectomy for Non-prolapsed Uterus

目的探讨非脱垂子宫经阴道子宫全切除术(TVH)的可行性。方法对2008年10月—2009年3月天津市津南区小站医院78例因子宫疾病行子宫切除术患者的临床资料进行分析,其中37例行TVH,41例行经腹全子宫切除术(TAH),对比分析两组患者的手术时间、术中出血量、术后排气时间、术后最高温度、术后住院时间、术后疼痛程度等。结果两组患者手术时间、术中出血量、术后排气时间、术后最高温度、术后住院时间、术后疼痛程度等比较差异有统计学意义(P<0.05)。结论TVH与TAH相比具有手术时间短、出血少、术后排气时间短、术后疼痛程度轻等优点,值得推广。

Objective Explore the feasibility of transvaginal hysterectomy （TVH） for non-prolapsed uterus.Methods The data of 78 patients underwent hysterectomy at Xiaozhan Hospital of Jinnan district of Tianjin metropolis from October 2008 to March 2009 were retrospectively analyzed.There were 37 patients underwent TVH and 41 underwent transabdominal hysterectomy （TAH）.The duration of operation,amount of bleeding during operation,postoperative anal exhaust time,highest body temperature,hospitalization time,and pain were compared between the two groups.Results There were statistically significantly differences between the two groups in duration of operation,amount of bleeding during operation,postoperative anal exhaust time,highest body temperature,hospitalization time,and pain （P〈0.05）.Conclusion The transvaginal hysterectomy is shorter in operative time,less in bleeding,shorter in postoperative anal exhaust time,and milder in postoperative pain as compared with transabdominal hysterectomy.