目的：探讨经阴道非脱垂子宫切除术临床疗效与安全性。方法对100例非脱垂子宫良性病变患者分别行经腹子宫切除术（45例，TAH组），经阴道非脱垂子宫切除术（55例，TVH组），比较两组患者的手术情况、术后恢复及并发症发生等情况。结果TVH组患者手术时间、术后病率（术后体温＞38℃）、腹胀情况、术后排气时间、术后镇痛、术后住院时间和术后并发症发生率均少于TAH组（P＜0．05），差异有统计学意义；TVH组和TAH组术中出血量分别为（165±42）mL和（160±38）mL，差异无统计学意义（P＞0．05）。TVH组中转开腹1例（1．8％），术中膀胱损伤1例（1．8％），术后内出血1例（1．8％）。患者术后均获得随访1个月～3年。1例出现阴道残端炎性息肉，经摘除后痊愈。结论经阴道非脱垂子宫切除术较腹式子宫切除术时间短、创伤小、术后恢复快，符合微创的原则。%Objective To investigate the clinical efficacy and safety of undergoing transvaginal hysterectomy for non -prolapsed uterus.Methods Forty-five cases were treated with the trans-abdominal hysterectomy( TAH group) ,and 55 cases were operated with the trans-vaginal hysterectomy( TVH group).Their operation condition,postoperative recovery and complications were observed.Results The operation time and the average hospital stays of TVH group were less than those of TAH group , and the time of antibiotics applica-tion,anal exhaust time,analgesics utilization rates and complications of TVH group were significantly shorter or lower than those of TAH group(P<0.05) .The amount of blood loss of the two groups was(165 ±42) ml and(160 ±38) ml,respectively.The operation was suc-cessful in 54 out of 55 cases(1.8%),operative bladder injuries were found in 1 patient (1.8%),and postoperative intraperitoneal hemor-rhage in 1 case (1.8%).All cases were followed-up for 1 month to 3 years.One case with vaginal stump inflammatory polyps was recov-ered after positive therapy.Conclusion Transvaginal hysterectomy for non -prolapsed uterus is less invasive,safer and faster in recovery with less cost.
展开▼
