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目的比较非脱垂子宫经腹子宫全切除术(transabdominal hysterectomy,TAH)与经阴道子宫全切除术(prolapsed transvaginal hysterectomy,TVH)的临床效果。方法选择2009年7月—2013年1月收治的非脱垂子宫良性病变患者128例,随机分为对照组78例和观察组50例,对照组行TAH,观察组行TVH,两组术后均随访3个月,比较两组手术情况及术后生活质量受影响情况。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果手术时间、术中出血量、术后排气时间、下床活动时间、住院天数对照组分别为(90.7±9.4)min、(145.4±9.8)ml、(24.1±1.4)、(36.2±9.7)h、(12.9±2.1)d,观察组分别为(50.5±8.3)min、(126.7±8.9)ml、(12.6±0.5)、(29.6±3.6)h、(6.2±2.3)d,两组比较差异均有统计学意义(t=24.688、10.911、55.782、4.607、16.965,均P<0.05)。术后性生活质量受影响对照组占10.3%,观察组为0,两组比较差异有统计学意义(χ2=3.860,P<0.05)。结论 TVH较TAH临床效果肯定,对术后患者性生活质量影响小,值得推广。
Objective To compare the clinical effects of transabdominal hysterectomy (TAH) and prolapsed transvaginal hysterectomy (TVH) in non-prolapsed uterus. Methods A total of 128 patients with non-prolapsed uterine benign lesions admitted from July 2009 to January 2013 were randomly divided into control group (n = 78) and observation group (n = 50). The control group received TAH and the observation group received TVH. All cases were followed up for 3 months. The surgical condition and postoperative quality of life were compared between the two groups. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The operation time, intraoperative blood loss, postoperative exhaust time, ambulation time and length of hospital stay were (90.7 ± 9.4) min, (145.4 ± 9.8) ml, (24.1 ± 1.4) and (36.2 ± 9.7 (12.9 ± 2.1) d and (12.9 ± 2.1) d respectively in the observation group were (50.5 ± 8.3) min and (126.7 ± 8.9) ml and (12.6 ± 0.5) and The differences were statistically significant (t = 24.688,10.911,55.782,4.607,16.965, all P <0.05). The quality of postoperative sexual life was affected by the control group (10.3%) and the observation group (0). The difference between the two groups was statistically significant (χ2 = 3.860, P <0.05). Conclusions TVH is more effective than TAH in clinical practice and has little effect on the quality of postoperative sexual life of patients. It is worth promoting.