经阴道子宫切除术与经腹子宫切除术的临床效果比较

Clinical effect after vaginal hysterectomy and total abdominal hysterectomy surgery

目的探讨经阴道子宫切除术与经腹子宫切除术的临床效果。方法选取2010年1月～2012年10月在我院行TVH手术患者32例,设立为TVH组,另外选择同期行TAH手术患者30例作为TAH组,比较两组的手术时间、术中出血量、肛门排气时间、住院时间及并发症情况。结果所有患者均顺利完成手术,观察组无一例出现中转开腹,TVH组的手术时间及术中出血量明显少于TAH组,且TVH组的肛门排气时间及住院时间均明显短于TAH组(P<0.05)。结论经阴道子宫切除术较经腹子宫切除术更具优势,具有手术时间短、术中出血少、术后恢复快、住院时间短等优点,值得推广和应用。

Objective To investigate the clinical effects by vaginal hysterectomy and total abdominal hysterectomy surgery.Methods Selected 32 cases in our hospital the TVH surgery patients from January 2010 to October 2012,the establishment of the TVH group,in addition to select 30 cases of underwent TAH surgical patients as TAH group,the two groups were compared operative time,blood loss amount of anal exhaust time,length of stay,and complications.Results All patients with successful completion of the surgery,the observation group,no case of conversion to open,the TVH group operative time and blood loss was significantly less than the TAH group,and the the TVH group anal exhaust time and length of hospital stay were significantly shorter than the TAH group（P〈0.05）.Conclusion Vaginal hysterectomy than after abdominal hysterectomy advantage,which has the advantages of shorter operative time,less blood loss,faster recovery,shorter hospital stay,worthy of promotion and application.