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目的:探讨阴式子宫切除与腹式子宫切除两种手术方法的临床疗效。方法:对78例子宫良性病变经阴道子宫切除术(TVH)资料进行回顾性分析,并与80例经腹子宫切除术(TAH)的手术时间、术中出血量、术后肛门排气时间、镇痛药物使用率、术后住院天数及术后病率进行比较。结果:阴式组手术时间术中出血量、术后肛门排气时间、镇痛药物的使用率、术后住院天数、术后病率均明显低于腹式组,差异均有统计学意义(P<0.01)。结论:阴式子宫切除对病人损伤小、腹部无瘢痕、并发症少、术后恢复快、住院时间短,更符合微创观念,值得推广。
Objective: To explore the clinical effect of two methods of operation of vaginal hysterectomy and abdominal hysterectomy. Methods: A retrospective analysis was performed on 78 cases of benign and malignant lesions of the uterus treated by transvaginal hysterectomy (TVH). The data of 80 cases of transvaginal hysterectomy (TAH) including operation time, intraoperative blood loss, postoperative anal exhaust time, Analgesic drug use, postoperative hospital days and postoperative morbidity were compared. Results: The operation time of vaginal bleeding during operation, anal exhaust time, the use of analgesic drugs, postoperative hospital stay, postoperative morbidity were significantly lower than the abdominal group, the differences were statistically significant ( P <0.01). Conclusions: Vaginal hysterectomy is less harmful to the patient, less scar in the abdomen, less complications, quick recovery after surgery, shorter hospital stay, and more in line with the concept of minimally invasive surgery.