[摘要] 目的：探讨非脱垂阴式全子宫切除术与腹式全子宫切除术二种手术方式利弊。方法：将非脱垂阴式全子宫切除术组80例，与同期指征相近的经腹子宫全切除术组80例进行分析比较，两组手术情况进行对照分析。结果：腹式组较阴式组平均手术时间长(P<0.05)，平均出血量较阴式组稍多(P<0.05)，阴式子宫切除术后疼痛较轻、肛门排气时间短、术后发病率低、住院时间短、腹部无瘢痕，两组差异有统计学意义。结论：经阴道全子宫切除术的临床应用效果较好，值得推广和应用。

    [关键词] 非脱垂子宫；全子宫切除术；阴式子宫切除；腹式子宫切除

    [中图分类号] R713.4+2 [文献标识码]B [文章编号]1673-7210(2011)03(b)-139-02

    Clinical comparison of transvaginal and transabdominal hysterectomy of non-prolapsed uterus

    CAO Qinghua, WANG Qingxiang, FENG Yun

    Duchang Hospital Affiliated of Jiujiang University, Jiangxi Province, Duchang 332600, China

    [Abstract] Objective: To investigate advantages and disadvantages of transvaginal and transabdominal hysterectomy of non-prolapsed uterus. Methods: Clinical data of transvaginal hysterectomy of non-prolapsed uterus in 80 patients and transabdominal hysterectomy in 80 patients with similar indications were analyzed, the operation situation of two groups were compaired. Results: The average operation time abdominal group was longer than vaginal group(P<0.05), the average blood loss of vaginal group was slightly more than abdominal group(P<0.05); In vaginal hysterectomy group, the postoperative pain was less, anal exhaust time was short, rate of postoperative was low patients, hospital stay was shorter, and with no abdominal scar. There was a significant difference between the two groups. Conclusion: The clinical application effect of vaginal hysterectomy is better, it is worthy of promotion and application. ......