非脱垂子宫阴式切除术临床研究

Clinical study of vaginal hysterectomy for non prolapse

①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。②方法回顾分析我院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。③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著性。子宫≥妊娠12周、最大肌瘤直径≥8cm、盆腔粘连等,手术时间延长、出血量增多,差异有统计学意义。④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。子宫≥妊娠12周及最大肌瘤≥8cm,手术时间延长,出血量增加,此时是否行TVH应依术者能力慎重而行。

Objectvi e To investigate non-prolapsed uterus vaginal hysterectomy （ TVH） advantages , surgical indications , contraindications and surgical point .Methods Retrospective analysis in our hospital 73 cases of uterine prolapse TVH non -clinical data with earlier indications of similar total abdominal hysterectomy （ TAH） 70patients were compared .Results TVH group anal exhaust time , ambulation time and hospital stay and postoperative pain levels were less than TAH group , operative time , blood loss and complications difference was not statistically significant .Uterus ≥12 weeks of pregnancy , the largest tumor diameter ≥8cm, pelvic adhesions , prolonged operative time , blood volume increased , the difference was statistically significant .Co nclusion TVH has flatus early, less pain, faster recovery, shorter hospital stay, minimally invasive, etc., is ideal for treatment of non -surgical u-terine prolapse.≥12 weeks of pregnancy and uterine fibroids biggest ≥8cm, prolonged surgery, bleeding increased, this time whether the line should be in accordance with the surgeon the ability TVH prudent and OK .