改良非脱垂阴式子宫切除术36例临床分析

To investigate 36 cases improved non-prolapsed vaginal hysterectomy

目的探讨改良非脱垂子宫经阴道切除术(TVH)的安全性、优越性。方法选择改良非脱垂子宫经阴道子宫切除术(TVH)36例,与同期指征相同的经腹子宫切除术(TAH)42例进行对比分析。结果 TVH组手术均成功,术后肛门排气时间、下床活动时间、术后病率、住院时间均小于TAH组,两组比较差异有统计学意义(P<0.05),术中出血、手术时间两组比较差异无统计学意义(P>0.05)。结论改良非脱垂阴式子宫切除术是安全可靠、微创的手术方式,值得推广应用。

Objective The objective of the study was to investigate the improvement surgery of non-prolapsed uterus transvaginal hysterectomy（TVH） is security and superiority.MethodsThe study was a retrospective review of 36 patients who underwent surgery which is non-prolapsed uterus vaginal hysterectomy（TVH） and 42 patients who underwent surgery which is abdominal hysterectomy（TAH） for the same period.ResultsTVH group operations were successful,anal exhaust time,ambulation time,postoperative morbidity,hospital stay were less than TAH group,the difference was statistically significant（P〈0.05）,blood loss,operative time were no significant difference between the two groups（P〉0.05）.ConclusionImproved non-prolapsed vaginal hysterectomy is safe,minimally invasive surgical.Therefore,the surgery should be widely applied.