新式经阴道全子宫切除术的临床应用

Clinical application of new vaginal hysterectomy

目的研究新式经阴道全子宫切除术(TVH)的临床应用价值。方法选择2008年6月至2010年3月我院收治的60例子宫良性病变行TVH者作为研究组,随机抽取同期同指征行腹式全子宫切除术(TAH)者60例作为对照组,比较两组子宫、肌瘤大小及术中、术后情况,研究TVH的临床疗效。结果 TVH手术时间比TAH缩短20%,术中出血量减少23%,术后病率、杜冷丁使用率明显降低,排气时间缩短8 h。结论 TVH具有手术时间短、术中出血少、术后疼痛少、恢复快、术后病率低及住院时间短等优点,新式经阴道全子宫切除术值得在临床中广泛应用。

Objective To research the value of new vaginal hysterectomy in clinical.Methods Choose 60 cases of uterine benign lesions from June 2008 to March 2010 in our hospital as research group TVH,60 cases with the same indications in the same period were randomly selected abdominal hysterectomy（TAH） as the control group.Compared the uterus,fibroid size and postoperative clinical effect of TVH in the two groups.Results TVH operative time was shortened by 20% compared with TAH,23% reduction in blood loss,postoperative morbidity and pethidine significantly reduced usage,exhaust time reduced 8 hours.Conclusion TVH has a shorter operative time,blood loss,less postoperative pain and less,fast recovery,postoperative morbidity is low and the advantages of shorter hospital stay,new vaginal hysterectomy should be widely used in clinic.