Feasibility and safety of transvaginal total vaginal hysterectomy for postmenopausal patients with non-prolapsed high-grade squamous intraepithelial cervical lesions
10.3969/j.issn.1673-9701.2025.12.016
- VernacularTitle:经阴道全子宫切除术应用于绝经后非脱垂高级别宫颈鳞状上皮内病变的可行性和安全性
- Author:
Xiaoji CAI
1
;
Xuan CHE
1
;
Hanqin LI
1
Author Information
1. 嘉兴市妇幼保健院妇科,浙江嘉兴 314000
- Publication Type:Journal Article
- Keywords:
Total vaginal hysterectomy;
High-grade squamous intraepithelial lesion of the cervix;
Transvaginal;
Laparoscopy
- From:
China Modern Doctor
2025;63(12):69-71
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility and safety of total vaginal hysterectomy(TVH)in the treatment of high-grade squamous intraepithelial cervical lesions(HSIL)in postmenopausal women without uterine prolapse.Methods A retrospective analysis was conducted on the data of 76 patients who underwent total hysterectomy in the Department of Gynecology,Jiaxing Maternity and Child Health Care Hospital from January 2019 to December 2022.The patients were divided into vaginal group(n=35)and laparoscopic group(n=41)according to the surgical approach.The baseline characteristics,intraoperative conditions,and postoperative recurrence of two groups were compared.Results There were no statistically significant differences in the baseline characteristics,postoperative white blood cells,and postoperative complications between two groups.The operation time of vaginal group was shorter than that of laparoscopic group,the intraoperative blood loss of vaginal group was less than that of laparoscopic group,and the postoperative body temperature of vaginal group was lower than that of laparoscopic group,and the differences were statistically significant(P＜0.05).The surgical cost of vaginal group was lower than that of laparoscopic group,and the difference was statistically significant(P＜0.05).Conclusion For postmenopausal patients with non prolapsed HSIL,both vaginal and laparoscopic TVH can achieve satisfactory efficacy and prognosis.The vaginal group has the advantages of low treatment cost,short surgical time,less intraoperative bleeding,and high satisfaction.
