阴式子宫切除术与经腹子宫切除术的临床疗效分析

Contrast analysis of vaginal hysterectomy and transabdominal hysterectomy

目的对阴式子宫切除与经腹子宫切除的临床疗效进行分析,探讨阴式子宫切除优缺点。方法对子宫切除的70例病例进行回顾分析,其中阴式子宫切除35例,经腹部子宫切除35例。从术中出血量,术后住院时间等进行比较分析。结果阴式子宫切除术均成功完成且术中出血量,术后肛门排气时间,镇痛药物使用率,术后住院时间,术后并发症率均明显低于腹式组,差异均有统计学意义(P<0.05)。结论阴式子宫切除对患者损伤小,腹部无瘢痕,并发症少,术后恢复快,住院时间短,符合微创观念,值得推广。

Objective To compare the clinical effects of transvaginal hysterectomy （TVH） and transabdominal hysterectomy（TAH） in the treatment of patients. Methods Seventy patients who received hysterectomy were randomly assigned to TVH （n=35） and TAH （n=35） group. Comparative analysis was carried on in terms of the surgery bleeding, postoperative hospital stay, and so on. Results In TVH group, patients showed decrease of hemorrhage volume. TVH group was better tban TAH group in the utilization rate of analgesic drugs, postoperative hospital stay and postoperative pain together with the improvement of enterokinesia recovery（P〈0.05 ）. Conclusion As TVH indicates minimal trauma and quick recovery time, it is more efficient in the treatment of patients with hysterectomy.