Aharoni A, Kaner E, Levitan Z, Condrea A, Degani S, Ohel G
Gynecology and Obstetrics Department, Bnai-Zion Medical Center, Haifa, Israel.
Int J Gynaecol Obstet. 1998 Oct;63(1):29-32. doi: 10.1016/s0020-7292(98)00116-7.
To compare an operative and postoperative course of open vaginal cuff hysterectomy and closed vaginal cuff hysterectomy, and to correlate the length of stay, febrile morbidity and the incidence of pelvic fluid collections to the type of surgery.
One-hundred women scheduled for hysterectomy were prospectively randomized into two groups that underwent either a closed or an open vaginal cuff technique.
The open vaginal cuff technique took on average 19% more time than the closed vaginal cuff operation (P < 0.05, t-test). The incidence and size of pelvic fluid collections was significantly higher after the closed vaginal cuff hysterectomy than after the open technique (P < 0.01, t-test). However, the postoperative length of stay, febrile morbidity and the rate of complications were similar.
Both techniques of hysterectomy produced a similar postoperative course despite the fact that the closed vaginal cuff technique resulted in a higher incidence of pelvic fluid collections. Therefore considering a shorter operation time for the closed vaginal cuff hysterectomy, this technique seems slightly preferable.
比较开放性阴道残端子宫切除术与闭合性阴道残端子宫切除术的手术过程及术后情况，并将住院时间、发热发病率和盆腔积液发生率与手术类型相关联。
一百例行子宫切除术的女性被前瞻性随机分为两组，分别接受闭合性或开放性阴道残端技术。
开放性阴道残端技术平均比闭合性阴道残端手术多花费19%的时间（P < 0.05，t检验）。闭合性阴道残端子宫切除术后盆腔积液的发生率和大小显著高于开放性技术（P < 0.01，t检验）。然而，术后住院时间、发热发病率和并发症发生率相似。
尽管闭合性阴道残端技术导致盆腔积液发生率较高，但两种子宫切除技术的术后情况相似。因此，考虑到闭合性阴道残端子宫切除术的手术时间较短，该技术似乎略优。
