【摘要】 目的 :探讨经阴道高位次全子宫切除术的临床实用价值。方法 :对 45例患者行经阴道次全子宫切除术 ,均在子宫峡部上方 1～ 2cm处向下楔行切除宫体。并选择 2 0例经腹次全子宫切除术病例作为对照 ,比较两组手术各项指标。结果 :平均术中出血量 ,平均手术时间两组比较差异无显著性P >0 .0 5 ;肠功能恢复时间研究组较对照组快 (9.2小时vs 30小时 ,P <0 .0 1) ;研究组术后平均住院 4天较对照组短 (8天 ) (P <0 .0 1) ;术后病率研究组 8%,对照组 15 %(P<0 .0 1)。结论 :经阴道高位次全子宫切除术是一种安全、微创的手术 ,有助于改善手术患者的生活质量。更多还原

【Abstract】 Objective: To investigate the clinical value of trans-vaginal (high-site) subtotal hysterectomy. Methods: Trans-vaginal (high-site) subtotal hysterectomy were carried out in 45 patients, and the incision of uterus was 1-2cm upper than isthmus uteri. 20 patients undergoing subtotal abdominal hysterectomy were selected as controls. Each operating index was compared. Results:There was no significant difference between the two groups in the mean operating blood loss or the average operating time (P>0.05) . Compared to the control group, the study group was associated with earlier bowel functional recover (9.2h vs 30h,P<0.01), shorter hospital stays after operation (4 days vs 8 days, P<0.01), less morbidity after operation (8% vs 15%, P<0.01). Conclusions: trans-vaginal (high-site) subtotal hysterectomy has been shown to be a safe and mini-invasive procedure to improve the patient’s quality of life .更多还原