非脱垂子宫阴式子宫切除术40例临床分析

Clinical Analysis of 40 cases of Benign Non-prolapsed Uterus Undergoing Transvaginal Hysterectomy

目的探讨非脱垂子宫阴式子宫切除术的临床应用价值。方法分析2006年10月-2010年2月妇产科手术的非脱垂子宫因良性病变行子宫全切除术的患者80例,随机分成两组,每组40例,对照组施行传统腹式子宫全切除术,观察组施行阴式子宫全切除术,比较手术时间、术中出血量、术后疼痛程度、平均住院天数。结果 40例阴式子宫全切除术手术成功,无术中术后并发症。两组对照手术时间差异无统计学意义,术中出血量、平均住院天数差异有统计学意义(P<0.05)。术后疼痛程度差异有统计学意义(P<0.01)。结论阴式子宫切除术具有术中出血少、腹腔干扰小、术后疼痛轻、并发症少、恢复快、住院天数短等优点,是值得推广的一种子宫切除方法。

Objective To discuss the clinical value of transvaginal hysterectomy for non-prolapsed uterus. Methods Eighty cases of benign non-prolapsed uterus admitted to our department from Oct. 2006 to Feb. 2010 were randomly divided into two groups （40 cases in each group）. The control group received the transahdominal hysterectomy（TAH） and the experimental group received the transvaginal hysterectomy（TVH）. The operation time, intraoperative bleeding, postoperative pain and average hospital days between the two groups were compared and analyzed retrospectively. Results The operations were all successful. No compli- cation was found during and after the operation. The operation time was similar between two groups （ P 〉 0.05 ）. In TVH group, the amount of intraoperative bleeding and average hospital days was less, and the postoperative pain was light,the difference between the two groups had statistical significance（ P 〈 0. 05 or 0.01 ）. Conclusion The transvaginal hysterectomy, with the advantages of less invasive,less pain, good outcome, quickly recovery and shorter length of hospital stay, is worth to be generalized in clinic.