非脱垂子宫经阴道切除术51例临床分析

Clinical analysis of 51 case of vaginal hysterectomy for non-prolapsed uterus

目的探讨非脱垂子宫的手术方式。方法将102例非脱垂子宫因良性病变而需行子宫全切除的患者随机分为观察组和对照组,每组各51例。观察组施行经阴道切除术;对照组施行传统腹式子宫切除术。结果观察组的手术时间、术中出血量、术后病率、术后肛门排气时间、术后住院时间、术后下床活动时间与对照组比较,均有显著性差异(P均<0.01)。结论经阴道切除术具有手术时间短,腹腔干扰小,术后疼痛轻,腹壁无瘢痕等诸多优点,且更符合微创技术的原则,值得临床应用。

Objective To study the operation way of unprolapsed uterine. Methods The patients was randomly divided into two groups：experimental group executed classics vagina resection （ 101 cases） ; control group executed traditional dyadic abdomen hysterectomy. Results There was significant difference to two groups of bleeding amounts,disease rates,the time of anus exhaust、in hospital and get out the bed of skill queen（ P 0. 01）. Conclusion The vagina resection has more merit：such as the shorten times in operation、the smaller disturbance to abdominal cavity ,the lighten pain,no cicatrices,et,and conforms to the principle of the micro creates the technology. It was worth clinical practicing.