非脱垂子宫阴式切除术的临床应用

Clinical Application of Non-prolapsed Uterus Vaginal Hysterectomy

目的探讨非脱垂子宫阴式切除术(TVH)的优点、手术适应证、禁忌证及手术要点。方法方法回顾分析2009年1月至2012年1月间我院73例非脱垂子宫TVH临床资料,与同期指征相近的经腹全子宫切除术(TAH)70例进行比较。结果 TVH组术后肛门排气时间、下床活动时间及住院时间和术后疼痛程度均小于TAH组,手术时间、出血量及并发症差异无显着性。子宫体积越大、最大肌瘤直径越大、盆腔粘连者,手术时间延长、出血量增多,差异有统计学意义。结论 TVH具有术后排气早、疼痛轻、恢复快、住院时间短、微创等优点,是治疗非脱垂子宫的理想术式。认真把握阴式全宫切除术的手术适应证是手术成功的关键。

Objective To investigate the non-prolapsed uterus vaginal hysterectomy （TVH） advantages, surgical indications, contraindications and surgical point. Methods Methods A retrospective analysis in January 2009 - January 2012 in our hospital 73 cases of uterine prolapse TVH non-clinical data with earlier indications of similar total abdominal hysterectomy （TAH） 70 patients were compared. Results TVH group anal exhaust time, ambulation time and hospital stay and postoperative pain levels were less than TAIl group, operative time, blood loss and complications difference was not statistically significant. Uterine volume greater the larger the diameter of the largest fibroids, pelvic adhesions, prolonged operative time, blood volume increased, the difference was statistically significant. Conclusion TVH has flatus early, less pain, faster recovery, shorter hospital stay, minimally invasive, etc., is ideal for treatment of non-surgical uterine prolapse. Seriously grasp vaginal hysterectomy surgical indications are key to successful operation.