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目的评价经阴道与经腹子宫切除术在子宫良性病变中的临床效果。方法对2006年5月—2008年6月因子宫良性病变需行子宫切除术的121例病例进行回顾性分析,其中经阴道子宫切除术58例(阴式组),经腹子宫切除术63例(开腹组),主要对比2组手术时间、术中出血量、术后住院时间、术后排气时间、术后镇痛药使用率、术后病率、术后并发症等。结果2组手术时间,术中出血量比较差异无统计学意义(P>0.05);阴式组术后排气早、住院时间短、术后镇痛药使用率及术后病率低与开腹组比较差异有统计学意义(P<0.05)。结论经阴道子宫切除术较经腹子宫切除术具有创伤小,恢复快的优点,符合微创观点。
Objective To evaluate the clinical effect of transvaginal and abdominal hysterectomy in benign uterine lesions. Methods A retrospective analysis was performed on 121 cases of hysteroscopic hysterectomy from May 2006 to June 2008, including 58 cases of transvaginal hysterectomy (vaginal group), 63 cases of transabdominal hysterectomy (Open group), the main comparison of two groups of operation time, intraoperative blood loss, postoperative hospital stay, postoperative exhaust time, postoperative analgesic usage, postoperative morbidity, postoperative complications. Results There was no significant difference in operative time and intraoperative blood loss between the two groups (P> 0.05). In the negative group, the early exhaust and hospital stay were shorter, the postoperative analgesic use rate and postoperative morbidity were lower and higher The difference between the abdominal group was statistically significant (P <0.05). Conclusion Transvaginal hysterectomy than abdominal hysterectomy has the advantages of less trauma and faster recovery, in line with minimally invasive point of view.