摘要
目的 :探讨非脱垂子宫经阴道 (阴式 )切除术后的方法改进和优越性。方法 :对术前诊断子宫肌瘤和功血的非脱垂子宫切除的患者 ,随机分为阴式和腹式两组进行临床观察 ,并对阴式子宫切除术传统方法进行改进。结果 :阴式组较腹式组平均手术时间短 ( P<0 .0 1) ,平均出血量多 ( P<0 .0 1) ,术后疼痛、发热率低 ( P<0 .0 0 1) ,肛门排气时间早 ( P<0 .0 0 1) ,术后平均住院时间短 ( P<0 .0 0 1)。结论 :阴式子宫切除较腹式子宫切除手术时间短 ,并发症少 ,腹腔干扰小 ,术后疼痛轻 ,恢复快 ,住院时间短 ,腹壁无疤痕 ,满足了患者心理需求 ,符合微创技术的原则。
Objective:To investigate the advantage and method improving for a moderate enlarged normal-position uterus.Methods:A clinical observation and comparision were made radomly between transvaginal hysterectomy and abdominal hysterectomy for moderate enlarged normal-positioned uterus,68 patients have been diagnosed as myoma of uterus and dysfunctional uterine bleeding.Results:Transvaginal hysterectomy can be accomplished with shorter operating duration ( P <0.01),less post-operative pain and fever( P <0.01),earlier anus exhaustion( P <0.001),shorter length of post-operative hospital stay( P <0.001),but a little more bleeding( P <0.001).Conclusions:Compared with abdominal hysterectomy,transvaginal hysterectomy in associated with less operating duration,fever complications,lighter interference with the abdomen,lighter pain,earlier recovery,shorter hospital staying duration and no scar.So transvaginal hysterectomy can meet patient′s psychological demands and accord with micro-trauma technical principle.
出处
《临床医药实践》
2003年第5期338-339,共2页
Proceeding of Clinical Medicine
