[中医学论文]
【摘要】目的 探讨非脱垂子宫经阴道和经腹切除两种手术方法临床疗效的优缺点。方法 回顾性分析整理我院妇产科2010年6月至2011年10月非脱垂子宫行子宫切除术的96例患者的临床资料, 阴式组44例,腹式组52例,比较两组患者术中和术后的情况。结果 阴式组平均手术时间、术中出血量均少于腹式组,术后排气时间、住院时间明显短于腹式组,差异均有显著性(P<0.05)。结论 非脱垂子宫经阴道切除是安全有效的,具有对病人的创伤小、术后恢复快、住院时间短的优点。
【关键词】 阴式子宫切除术 腹式子宫切除术
【Abstract】 Objective To investigate the therapeutic effects of total abdominal hysterectomy(TAH) and vaginal hysterectomy(TVH). Methods The operation and post-operation situations of 96 patients who underwent hysterectomy from June 2010 to October 2011 in our hospital were analysed respectively,compared betweenTAH group (n =52) and TVH group (n=44). Results Mean operation time, blood loss during operation, time to first passing flatus, hospital stay in TVH group were significantly better than those of TAH group(P<0. 05).Conclusion Treatment of non-prolapsed uterus by TVH appers safer and more effective,with less trauma, quicker recovery and shorter hospital stay.
【Key words】 Vaginal hysterectomy(VH) Total abdominal hysterectomy(TAH)
全子宫切除术是妇科手术中的常见手术之一，既往的阴式子宫切除术多限于子宫脱垂患者，随着妇科微创技术的发展与成熟，阴式手术的指征越来越宽，非脱垂的子宫良性病变经阴道切除部分取代了经腹切除术，为了比较这两种术式的临床疗效，对我院2010年6月至2011年10月非脱垂……
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