改良阴式子宫切除术临床研究

The Clinical Analysis of Improved Vaginal Hysterectomy

目的:比较改良阴式子宫切除术与开腹子宫切除术治疗良性子宫病变的临床效果。方法:将40例非脱垂性子宫病变患者随机分为两组,每组各20例,其中改良阴式子宫切除术为观察组,开腹子宫切除术为对照组,分别对两组患者的平均手术时间、手术中平均出血量、肛门排气、术后疼痛、住院时间、手术后并发症的情况及发生率进行比较。结果:观察组在平均手术时间、手术中平均出血量、手术并发症发生率、排气及下床活动时间、平均住院日等方面均优于对照组,两组比较差异均有统计学意义(P<0.05)。结论:改良阴式子宫切除手术较开腹子宫切除手术具有手术时间短,手术中出血少,术后病率低,体力恢复快,费用低,体表没有瘢痕等优势,是一种安全、手术效果好的子宫切除术式,值得在各级医院临床推广应用。

Objective：To compare the clinical effect between improved vaginal hysterectomy and abdominal hysterectomy for uterine benign lesions.Method：40 patients with non-prolapsed uterus lesions were randomly divided into the observation group and control group,20 cases in each group.The patients in the observation group were cured by improved vaginal hysterectomy while those in the control group were cured by abdominal hysterectomy.The time of operation,amount of bleeding in operation,passage of gas by anus,pain after operation,length of stay and complication after operation of the two groups were respectively compared.Result：The average time of operation,amount of bleeding in operation,incidence of surgical complications,passage of gas by anus,active time and average length of stay of the patients in the observation group were better than that of the control group,the differences were statistically significant（P〈0.05）.Conclusion：Improved vaginal hysterectomy has an advantage over abdominal hysterectomy with shorter time of operation,less bleeding,lower incidence of surgical complications,physical recovery faster,less expense and no scars of the surface.It is safe with excellent operation result so that it is worth popularizing in clinical application.