非脱垂阴式子宫切除与经腹切除临床对比分析

Clinical of Non-prolapsed Vaginal Hysterectomy Compared with Abdominal Resection

目的探讨经阴道非脱垂阴式子宫切除术在临床中的效果和应用价值。方法本样本回顾性分析2008年5月-2009年6月间42例阴式子宫切除术患者，与同期40例经腹子宫切除术进行比较，比较两组手术时间、术中出血量、术后下床活动时间、术后排气时间、住院时间及并发症。结果观察组42例患者均经阴道顺利完成子宫切除，无中转行经腹手术。手术时间、住院天数、排气时间和下床时间都明显短于对照组，术中出血量亦比对照组低，差异均有显著性（P〈0．01）。结论阴式非脱垂子宫切除术手术创伤少，术后恢复快，可提高患者的生活质量，值得推广和普及。

Objective Non-vaginal prolapse of vaginal hysterectomy in clinical effectiveness and value.Methods Retrospective analysis of the samples in May 2008 - June 2009 between the 42 cases of vaginal hysterectomy, with the same period 40 cases of abdominal hysterectomy to compare two groups were compared operative time, blood loss, postoperative lower bed activity time, time after discharge, hospital stay and complications. ReSultS Observation group, 42 cases were successfully completed by vaginal hysterectomy, no transit by abdominal surgery. Operation time, hospital stay, discharge time and bed time was shorter than the control group, blood loss is also lower than the control group, the differences were significant （P 〈0.01）.Conclusion Non-prolapsed vaginal hysterectomy less surgical trauma, rapid postoperative recovery, can improve the quality of life of patients, it is worth popularization.