非脱垂阴式子宫切除术在子宫切除中的应用研究

Comparison of effects of non-prolapsed vaginal hysterectomy and abdominal hysterectomy

目的探讨非脱垂阴式子宫切除术在临床中的应用效果,并与腹式子宫切除术进行对比研究。方法收集本院2012年4月至2015年1月收治的100例需进行子宫切除的患者,皆为良性疾病,根据子宫切除的方式不同随机分为观察组(51例)和对照组(49例),观察组使用非脱垂阴式子宫切除术;对照组应用传统腹式子宫切除术,比较两组手术时间、术中出血量、术后镇痛用药情况、术后排气时间及住院时间等临床指标。结果观察组患者手术时间、术中出血量、术后镇痛用药、术后排气时间及住院时间分别为(45.25±9.23)min、(98.25±5.27)ml、10例、(15.2±3.5)h、(3.24±0.42)d,均优于对照组,差异具有统计学意义(P<0.05)。结论非脱垂阴式子宫切除术因入路经阴道,对腹腔干扰小,术后恢复快,安全可靠,可作为治疗妇科良性疾病需行子宫切除术的主要方法之一。

Objective To investigate the of effect non - prolapsed vaginal hysterectomy in clinical application, and were compared with abdominal hysterectomy. Methods Totally 100 patients required a hysterectomy hospital from April 201：2 to January 2015 were treated, all for benign disease, according to the way hysterectomy were randomly divided into two groups （51 patients） and control group （49 cases）, the observation group to use nonprolapsed vaginal hysterectomy; control group of traditional abdominal hysterectomy were compared operative time, blood loss, postoperative pain medication, postoperative exhaust time and hospital stay and other clinical indicators. Results In observation group, operative time, blood loss, postoperative pain medication, postoperative exhaust time and hospital stay were （45.25 ±9. 23 ） min, （98. 25 ±5.27） ml, 10 cases, （ 15.2 ±3.5） h, （3.24 ±0. 42）d, better than those the control group, the difference was statistically significant （ P 〈 0. 05 ）. Conduslon Non prolapsed vaginal hysterectomy pass into the vagina because of the abdominal cavity interference small, quick recovery, safe and reliable, one of the main methods of hysterectomy require treatment of gynecological diseases as benign.