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目的探讨阴式子宫全切除术的临床效果。方法选择2007年1月至2012年1月非脱垂子宫经阴道全切除术(TVH)72例为研究组与同期开展的腹式子宫全切除术(TAH)90例为对照组的临床效果进行回顾性对比分析。结果术后下床活动时间、术后肛门排气、术后住院天数和伤口疼痛,两组差异有统计学意义(P<0.05),手术时间、术后并发症、术中出血量、术后病率两者差异无统计学意义(P>0.05)。结论 TVH较TAH手术时间短、术后胃肠功能恢复早、术后疼痛轻、术后住院天数减少,下床活动时间早,术后病率及术中出血量、术后并发症无明显差异,拓宽了子宫切除术的方式和适应证,对较大子宫(如孕12-14周),瘢痕子宫也不是TVH的绝对禁忌证,是一种较好微创手术。
Objective To investigate the clinical effect of vaginal hysterectomy. Methods Seventy-two cases of non-prolapsed hysteroscopic vagotomy (TVH) from January 2007 to January 2012 were selected as the study group and 90 cases of TAH (total hysterectomy) performed in the same period as the control group Retrospective comparative analysis. Results The time of getting out of bed, the time of postoperative anal exhaust, the length of postoperative hospital stay and wound pain were significantly different between the two groups (P <0.05), operation time, postoperative complications, intraoperative blood loss, There was no significant difference between the two rates (P> 0.05). Conclusion Compared with TAH, TVH has shorter operation time, early postoperative gastrointestinal function recovery, less postoperative pain, shorter postoperative hospital days, earlier ambulation time, postoperative morbidity and intraoperative blood loss, and no significant difference in postoperative complications , To broaden the hysterectomy methods and indications, the larger uterus (such as 12-14 weeks of pregnancy), scar uterus is not an absolute contraindication to TVH, is a better minimally invasive surgery.