【摘要】 目的:比较非脱垂疤痕子宫经阴道和经腹全切术的临床效果。方法:2007年6月～2009年6月在我院疤痕子宫行子宫全切术共50例,其中经阴道子宫全切术20例,经腹子宫全切术30例,进行回顾性分析,比较两组手术时间、术中出血量、住院时间、术后恢复情况。结果:两组病人年龄、手术时间、术中出血量比较差异无显著意义(P>0.05),但阴式组在术后排气、住院天数、术后病率及术后镇痛率与腹式组差异有显著性(P<0.05)。结论:改良非脱垂疤痕子宫阴式全切术具有创伤小、出血少、恢复快等优点,临床实用安全可行。更多还原

【Abstract】 Objective To compare the clinical effects of transvaginal hysterectomy and abdominal hysterectomy for non-prolapsed and scarred uterus.Methods The clinical date of 100 patients with scarred uterus undergoing hysterectomy from June 2007 to June 2009 were analyzed retrospectively.Among all the cases,40 cases chose transvaginal hysterectomy,60 cases chose abdominal hysterectomy.Comparison has been made between the two groups of the operative time,intraoperative blood loss,hospitalization time,and recovery condition after operation.Results There was no significant difference between the two groups in the operative time,intraoperative blood loss,but there were significant differences between the two groups in the time to first flatus.Conclusions Improved transvaginal hysterectomy for non-prolapsed scarred uterus is safe and effective with the advantage of little trauma and fast recovery.更多还原