非脱垂阴式子宫切除102例临床分析.pdfVIP

主生全 堡堂 Q堕堡!旦筮鱼鲞箜!塑 !篓 翌 !型￡ 堕!!： ! ： !!：鱼 ! · 69l· 【全科临床研究】 、非脱垂阴式子宫切除102例临床分析 张泽莉，张士玲，廖玲，王艳，王倩，刘英 【摘 要】 目的 通过与腹式子宫切除术(TAH)比较，探讨阴式子宫切除术( ⅣH)的优缺点及操作技巧。方法 回顾 分析102例 ⅣH相关因素及并发症，并与同期124例TAH比较。结果 ⅣH组均成功经阴道完成手术时间明显短于 TAH组(P0．001)，术后肛门排气时间、住院时间明显少于TAH组(P0．001)；术中出血量略多于TAH组(P0，01)； 并发症发生率及止痛剂运用次数明显少于TAH组(P0，05)。结论 ⅣH具有微创，手术时间短，恢复快，住院时间 短，安全便利等优点，尤其适用于高血压、糖尿病、肥胖者。但对术者技术要求高，术者应具备一定的基本功和丰富的临 床经验。 【关键词】 经阴道切全子宫除术；经腹全子宫切除术；回顾分析 【中图分类号】 R713．42 【文献标识码】A 【文章编号】 1672．1764(2008)07-0691-02 Clinical Analysts of Transvaginul Hysterectomy for Non·prolapsed Uterus：a Report of 102 Cas嚣 ZHANG Ze-li．ZHANG Shi-ling，LIAO Ling，et ．Department ofObstetrics and Gynecology，the People’s Hospital ofMingguang，Anhui 239400，China t 【Abstract】Objective To evaluate the benefits and outcomes of patients who were underwent transvaginal hysterectomy (’ⅣH)．Methods Clinical data of 102 patients underwent ⅣH were compared with 1 24 patients underwent transabdominal hysterectomy(TAH)．The operative time，blood loss，recovery time of enterokinesia，marI—times of analgesic used，surgical compli— cations，and length of in hospital were compared between two groups respectively．Results Hysterectomy Wits completed in every patient．Operative time，time of enterokinesia recovery，and hospitalization time in ⅣH group were significantly shorter than that in TAH group(P0．001)．The amount of surgical blood loss WaS slishtly more than that in TAH group(P0，01)，the rate of complications occurred during and after operating in ⅣH were obviously less than that in TAH(P0．001)，The frequency of analgesic utilizationwas obviouslylowerinTAH groupthanthatinTAI~I(P0．001)．Condmiom Theresults demonstratethat transvaginal hysterectomy is a kind of safe and feasible method for m