非脱垂大子宫经阴道和经腹部切除术的对比分析

Must escapes hangs the big womb after the vagina and after the abdomen excision method contrastive analysis

目的：观察阴式子宫切除术（transvaginal hysterectomy，TVH）与腹式子宫切除术（transabdominal hysterectomy，TAH）进行非脱垂子宫切除的临床效果。方法：对86例非脱垂子宫，子宫肌瘤、宫颈上皮内瘤变、子宫腺肌症等妇科良性疾病患者，行阴式子宫切除术。并随机抽取行TAH者66例作为对照，比较手术时间、术中出血量、术后最高体温、肛门排气时间、术中及术后并发症。结果：LVH组和TAH组相比，手术时间明显延长，术中出血量差别无统计学意义，术后最高体温较TAH组降低，肛门排气时间减短，有统计学意义（P〈0．05）。结论：对非脱垂的子宫进行阴式子宫切，安全，可行，但需熟练掌握手术技巧。

Objective To compare the clinical effects of of transvaginal hysterectomy （TVH）, and transabdominal hysterectomy （TAH） in treatment non-prolapsed uterus. Methods The clinical data of cases with non-prolapsed uterus who had undergone uterus hysterectomy in the First affiliated Hospital of Xinxiang medical were collected 86 cases we ret teated by LVH and 66 cases by TAH. The operation time, blood loss in the operation, body temperature and passage of gas by anus after the operation were analyzed and compared bet -ween the two groups. Results The operation time were increased obviously in LVH group compare with those in the TAH group. But there is no significant difference wth blood loss in the operation ih tthede two groups. The body temperature and passage of gas by anus after the ope ration were decreased singnificiently in LVH group compare with those in the TAH group. Conclusion transvaginal hystereetom（non-prolapsed uterus） is effective, safe and feasible.