子宫肌瘤行阴式全子宫切除术的临床观察

The clinical evaluation of vaginal total hysterectomy for myoma of uterus

目的:对子宫肌瘤行阴式全子宫切除术的可行性进行临床研究。方法:选择子宫肌瘤具有全子宫切除手术指征,无阴式全子宫切除术禁忌症的患者作为实验组,以手术指征相近行腹式全子宫切除术的病人为对照组,进行临床分析。结果:实验组较对照组术后疼痛轻,起床活动早,恢复快,平均住院时间短,但平均手术时间稍长,术中平均出血量稍多。结论:阴式全子宫切除术具有损伤小,恢复快,疼痛轻,腹壁无疤痕等优点,手术病人选择恰当,子宫肌瘤行阴式全子宫切除术是可行的。

Objective: To study the clinical feasibility of vaginal total hysterectomy for Myoma of uterus. Methods: To select the patients with the indication of total hysterectomy, but without contraindication to vaginal total hysterectomy as the experiment group and the patients of abdominal hysterectomy with similar indication as the comparison group and to analyze both groups clinically. Results: Compared with the comparison group, the experiment group can be accomplish with less postoperative pain, earlier get up exercises, shorter length of postoperative hospital stay, but a little longer mean operation duration and a little more bleeding. Conclusion: The advantage of the vaginal total hysterectomy is less damage, earlier recovery, less pain and no scar. With the appropriate patients, this vaginal total hysterectomy for myoma of uterus is feasible.