通讯作者: 车璇, 18704634467@163.com

DOI：10.12201/bmr.202501.00068

Feasibility and Safety of Transvaginal Hysterectomy for Postmenopausal Patients with Non-prolapsed High-grade Cervical Lesions

• 摘要：【】:目的 探讨经阴道子宫全切除术(total vaginal hysterectomy,TVH)治疗绝经后非脱垂高级别宫颈鳞状上皮内病变(high-grade squamous intraepithelial cervical lesions,HSIL)的可行性和安全性。方法 回顾性分析嘉兴市妇幼保健院妇科行全子宫切除术的76例患者资料,根据手术方式将患者分为两组:经阴道组(n = 35)和腹腔镜组(n = 41)。比较两组的基线特征、术中情况及术后复发情况。结果 两组在基线特征、术后白细胞、术后并发症等方面没有明显差异。观察组手术时间［68(60,86.5)min］min短于对照组［(101(82,117))min］,观察组术中出血［50(20,50)ml］少于对照组［50(50,100)ml］ 、观察组的术后体温［37(36.7,37.3)℃］低于对照组［37.6(37.35,37.8)℃］,差异均有统计学意义(P＜0.05)。观察组手术费用［2777(1931,3173.5元］少于对照组［4490.3(3880.5,5744.3)元］,差异均有统计学意义(P＜0.05)。结论 对于绝经后非脱垂的HSIL患者,经阴道组和腹腔镜组均可取得满意的疗效和预后,且各有优缺点。经阴道组具有治疗费用低、手术时间短、术中出血量少、满意度高等优势。

  关键词： 全子宫切除术；绝经后非脱垂；宫颈高级别鳞状上皮内病变；经阴道；腹腔镜; ; ; ; 

   

  Abstract: Objective To investigate the effect of total vaginal hysterectomy (TVH) on postmenopausal patients with non-prolapsed high-grade squamous intraepithelial cervical lesions. The feasibility and safety of HSIL). Methods The clinical data of 76 patients who underwent hysterectomy in our hospital were retrospectively analyzed. The patients were divided into transvaginal group (n = 35) and laparoscopic group (n = 41) according to the surgical methods. The baseline characteristics, intraoperative conditions and postoperative recurrence were compared between the two groups.Results There were no significant differences in baseline characteristics, postoperative white blood cells and postoperative complications between the two groups. The operation time of the observation group 68(60,86.5)min was shorter than that of the control group (101(82,117) min. The intraoperative bleeding in the observation group 50(20,50)ml was less than that in the control group 50(50,100)ml, and the postoperative temperature in the

  Key words: whole hysterectomy; Postmenopausal non-prolapse; High-grade squamous intraepithelial lesion of the cervix; Transvaginal; Laparoscopy

  提交时间：2025-01-22

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• 序号	提交日期	编号	操作
  1	2025-01-05	bmr.202501.00068V1	下载

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