经阴道子宫切除668例手术并发症分析

Analysis of Complications of 668 Patients Undergoing Transvaginal Hysterectomy

目的分析经阴道子宫切除术常见并发症发生情况。方法对2006年1月—2013年12月于解放军404医院行经阴道子宫切除的668例的临床资料进行回顾性分析。结果 668例中有21例发生并发症,发生率为3.14%。其中术中并发症为出血多5例,膀胱损伤1例;术后并发症为术后24 h内盆腔出血10例,24 h后盆腔出血伴血肿1例,术后泌尿系感染和下肢深静脉血栓各2例。结论经阴道子宫切除术安全易行,掌握手术适应证及技巧可有效防止并发症。

Objective To analyze the incidence rate of common complications of transvaginal hysterectomy（ TVH）. Methods Clinical data of 668 patients undergoing transvaginal hysterectomy admitted during January 2006 and December 2013 was retrospectively analyzed. Results Among the 668 patients,21 patients had complications,and the incidence rate of complication was 3. 14%. The intraoperative complications included 5 patients with bleeding and 1 patient with bladder injury; postoperative complications included 10 patients with pelvic hemorrhage within postoperative24 h,1 patient with bleeding within postoperative 24 h,1 patient with pelvic bleeding and hematoma within postoperative24 h,2 patients with postoperative urinary tract infections and 2 patients with thrombophlebitis of deep veins of lower extremities. Conclusion TVH is safe and exercisable,and the complications of TVH can be effectively prevented by mastering the surgical indications and techniques.