摘 要：目的:探讨经阴道子宫切除术的可行性及临床应用价值。方法:改良经阴道子宫切除手术步骤,对18 例有子宫切除手术适应症者行经阴道子宫切除术,取同期经腹切除子宫18例作对比分析。结果:阴式组较腹式组手术时间长、术中出血稍多( P < 0. 05),而术后肛门排气时间、术后镇痛例数、术后住院日阴式组少于腹式组( P < 0. 01)；术后病人满意度阴式组明显高于腹式组( P < 0. 01)；两者术后性生活满意度无差别。结论:阴式全子宫切除术具有术后疼痛轻,恢复快,住院日缩短，病人满意度高等优点,是一种安全、手术效果好、副反应少的手术方式。

    关键词： 子 宫； 经阴道子宫切除术

    Observing the Clinical Curative Effect of Vaginal Hysterectomy

    TAN Yue-xian, RU Ying-miao, MO Jin-si

    (Yangjiang People’s Hospital of Yangjiang, Guangdong Yangjiang 529500, China)

    Abstract: Objective： Observation of feasible and clinical application value of vaginal hysterectomy. Method: Improving vaginal hysterectomy procedure for 18 cases of patients who are applicable to hysterectomy involved with vaginal hysterectomy. Taking 18 cases of patients for belly and vaginal hysterectomy as comparison analysis. Result: The virginal type group is longer time than belly type and bleeding is more slightly in operation (P<0.05); but the exhausting gas from the cavity of bottom, pain killing cases and inward days for virginal type after operation are less than belly type group (P<0.01); The satisfactory degree of virginal type is apparently than belly type group (P<0.01); Two groups have no difference for sex after operation. Conclusion: The virginal type of entire womb cutting operation has advantage of slight pain, fast recovery, short inward period after operation so that the patients are satisfactory. Therefore, it is a safe, good effect and less side-effect operation. ......