非脱垂子宫阴式切除术189例临床分析

目的探讨经阴道非脱垂子宫切除术(TVH)临床应用价值。方法对189例非脱垂子宫患者分为TVH组189例与腹式组152例进行临床观察。结果TVH组手术时间、术后肛门排气时间、住院时间、术后病率、术后疼痛率分别为(58.35±18.52)min、(16.7±7.6)h、(3.9±1.8)d、11.1%和4.76%,腹式组分别为(96.53±19.53)min、(29.50±13.2)h、(6.0±2.8)d、23.68%和17.76%,两组比较差异均有统计学意义(P<0.05)。TVH组出血量、术后并发症发生率分别为(140±29.4)ml、0.53%,腹式组(150±35.1)ml、1.32%,两组比较差异无统计学意义(P>0.05)。结论阴式子宫切除术具有手术时间短,腹腔干扰少,术后胃肠功能恢复早,疼痛轻,腹壁不留切口疤痕,住院时间短等优点,值得推广应用。

Objective The discussion must escapes after the vagina hangs the womb excision method （TVH） clinical practice value. Methods It must escapes to 189 examples hangs the womb patient to divide into the TVH group 189 examples and the abdomen type group 152 examples carries on the clinical observation. Results After finally the TVH group surgery time, the technique the anus exhaust time, in hospital time, the technique get sick rate, the technique the ache rate respectively are （58.35± 18.52）min, （16.7±7.6）h, （3.9±1.8）d, 11.1% and 4.76%, the abdomen type group respectively be （96.53±19.53）min, （29.50 earth 13.2）h, （6.0±2.8）d, 23.68% and 17.76%, two group of comparison differences has statistics significance （P〈0.05）. After TVH group hemorrhage quantity, technique complication formation rate respectively be （140±29.4）ml, 0.53%, abdomen type group （150±35.1） ml, 1.32%, two group of comparison difference non-statistics significance （P〉0.05）. Conclusion Cloudy -like womb excision method has the surgery time to be short, the abdominal cavity disturbs few, after the technique the stomach and intestines function restores early, the ache is light, the abdominal wall does not keep the margin scar, in hospital time short and so on the merits, is worth promoting the application.