阴式手术在子宫良性肿瘤的临床应用

Clinical observation of the transvaginal hysterectomy in the treatment of the patients with uterine benign tumor

目的：探讨阴式手术在子宫良性肿瘤中的临床应用效果。方法：选取2008年1月～2010年12月在我院行阴式手术治疗的子宫良性肿瘤患者100例，同时选取100例行开腹手术切除子宫良性肿瘤的患者作为对照，观察两组患者术中、术后情况，对手术时间、术中平均出血量、术后体温恢复时间、术后平均排气时间、术后留置尿管时间、术后发病率、平均住院天数情况进行比较。结果：观察组的阴式手术时间、术中平均出血量、术后平均排气时间、术后发病率、平均住院天数[（65．6±21．7）min、（74．6±28．0）ml、（21．3±6．5）h、10％、（3．4±1．2）d1与对照组[（89．4±30．2）min、（134．5±53．1）ml、（31．5±7．8）h、31％、（5．1±1．9）d1比较，差异均有统计学意义（均P〈0．05）。观察组的术后尿管留置时间、术后体温恢复时间[（2．3±0．6）d、（3．2±0．8）d1与对照组[（2．4±0．7）d、（3．4±1．1）d1比较，差异均无统计学意义（均P〉0．05）。结论：与经腹子宫切除术相比，阴式子宫全切术具有手术时间短、术后恢复快、术后发病率低及住院时间短等优点．且具有微创的特点．在掌握患者适应证及术者具有一定的手术水平的条件下．可适当地应用于临床。

Objective： To explore the clinical efficacy of transvaginal hysterectomy in the treatment of the uterine benign tumor. Methods： 100 cases of the patients with uterine benign tumor were collected in our hospital from January 2008 to December 2010, the patients were used the transvaginal hysterectomy, at the same time, 100 cases of patients were collected as the control group, and they were used the abdominal hysterectomy. The things of the mid- and post- operation were observed. The operation time, the average bleeding in the operation, the recovery time of the temperature after the opera- tion, the average time of exhaust, the time of the retained ureter, the morbidity after the operation, the average hospital time and the follow-up were observed and compared in the two groups. Results： The operation time, the average bleeding in the operation, the average time of exhaust, the morbidity after the operation and the average hospital time of the observation group [（65.6±21.7）rain, （74.6±28.0）ml, （21.3±6.5）h, 10%, （3.4±1.2）d] comparing with the control group [（89.4±30.2）min, （134.5±53.1）m1, （31.5±7.8）h, 31%, （5.1±1.9）d], there were significant differences （all P〈0.05）. But the recovery time of the temperature after the operation and the average time of exhaust of the observation group [（2.3±0.6）d, （3.2±0.8）d] compared with the control group [（2.4±0.7）d, （3.4±1.1）d], there was no significant difference （P〉0.05）. Conclusion： Compared with the laparotomical hysterectomy, the abdomina hysterectomy has short operation time, quick recovery, low morbidity and short hospital time, and minimally wound. If the surgeon controls the indications and the method of the operation, this method can be used in clinic.