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目的:探讨经阴道非脱垂子宫切除术(TVH)的临床效果。方法:回顾性分析86例TVH术式患者的术中、术后情况,并与经腹全子宫切除术(TAH)患者比较,包括手术时间、术中出血量、术中术后并发症、术后疼痛、术后肛门排气时间、拔除导尿管时间、术后病率和术后住院日等。结果:TVH组较TAH组术后疼痛轻,术后肛门排气时间早,拔除导尿管时间早、术后病率低和术后住院日短,两者比较差异有显著性(P<0.01);TVH组较TAH组手术时间,术中出血,术中术后并发症等,两组比较差异无显著性(P>0.01)。结论:经阴道非脱垂子宫切除术较经腹全子宫切除术具有术后疼痛轻,恢复快,体表不留瘢痕,术后住院时间短等优点,是值得基层医院推广的手术方式。
Objective: To investigate the clinical effect of transvaginal non-prolapsed hysterectomy (TVH). Methods: A retrospective analysis of 86 patients with TVH surgery intraoperative and postoperative conditions, and with abdominal hysterectomy (TAH) patients, including operation time, intraoperative blood loss, intraoperative and postoperative complications, surgery Postoperative anal exhaust time, catheter removal time, postoperative morbidity and postoperative hospital stay. Results: Compared with TAH group, the TVH group had less postoperative pain, shorter anus exhaust time, shorter catheterization time, shorter postoperative morbidity and shorter postoperative hospital stay (P <0.01) ); TVH group than TAH operation time, intraoperative bleeding, intraoperative and postoperative complications, the two groups showed no significant difference (P> 0.01). Conclusion: Transvaginal non-prolapsed hysterectomy than abdominal hysterectomy with postoperative pain, fast recovery, the body surface without scar, shorter postoperative hospital stay, etc., is worth the promotion of primary hospital surgical approach.