改良阴式非脱垂子宫经阴道全切除术130例临床分析

THE CLINICAL APPLICATION OF IMPROVED TRANSVAGINAL HYSTERECTOMY FOR NON-PROLAPSED UTERUS 130 CASES

目的探讨非脱垂子宫行改良阴式子宫全切除术的手术方法及临床应用价值。方法回顾性分析130例行改良阴式子宫全切除术患者的临床资料,并作为观察组,同期同一医疗组医师施行的31例传统手术病例作为对照组。结果观察组前后腹膜折返打开时间、手术时间、术后排气时间较对照组明显缩短,术中出血量较对照组减少,差异有统计学意义(P<0.01)。两组均无副损伤。观察组无中转开腹,手术成功率100%,对照组中转开腹3例,成功率96.74%,差异有统计学意义(P<0.05)。结论非脱垂子宫行本改良阴式子宫全切除术是安全、可行的,值得在临床推广应用。

Objective To explore the operative method and the feasibility of the improved transvaginal hysterectomy（TVH） for non-prolapsed uterus.Methods The clinical data of 130 patients（the study group） undergoing non-prolapsed transvaginal hysterectomy in Yishui Centeral Hospital from January 2005 to December 2008 were reviewed retrospectively,and the curative effects were compared them with those of 31 cases（control group） who underwent traditional transvaginal hysterectomy performed by the same doctors of the same period.Results Significant difference were found in the time of breaking vaginal fornix,the operation time,the postoperative exhaust and the blood loss.Both groups revealed no side effects.All patients received successful operations in the study group.3 cases in control group were transformed from the transvaginal hysterectomy into transabdominal hysterectomy.Significant difference were found in the operation success rate.Conclusion Improved transvaginal hysterectomy is safe and feasible for non-prolapsed uterus.It is worth spreading clinically.