摘要
目的探讨非脱垂子宫经阴道切除术的手术方法、临床效果与适应证。方法非脱垂子宫经阴道子宫切除术(TVH)157例,与同期指征相同的经腹全子宫切除术(TAH)160例作对比分析。结果TVH组手术均成功,无术中、术后并发症。术中出血、术后肛门排气时间、下床活动时间、术后病率、住院时间均小于TAH组,两组差异有统计学意义(P<0.01),手术时间以及术后3个月阴道残端愈合比较差异无统计学意义(P>0.05)。结论阴式非脱垂子宫切除术后患者的恢复优于腹式子宫切除术,是一种效果好、低创的手术方式。
Objective To assess the methods,clinical effects and indications of transvaginal hysterectomy (TVH) for non - prolapsed uterus. Methods The TVH for non - prolapsed uterus for 157 cases were compared with the transabominal hysterectomy (TAH) for 160 cases. Results Compared with the TAH group, the TVH group, which was operated successfully without complications during or after operation, had a significant reduction in bleeding, postoperative fart, the first time to move about, postoperative morbidity and hospitalization time ( P 〈 0.01 ), but the operation time , the remnant vagina after 3 months were out of notable difference( P 〉 0.05 ). Conclusion The TVH can make the postoperative patient recover better than the TAH. Therefore, it is a good effect and less injury operation.
出处
《临床医学》
CAS
2007年第6期6-7,共2页
Clinical Medicine
关键词
非脱垂子宫
经阴道子宫切除术
Non - prolapsed uterus
Transvaginal hysterectomy