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目的:探讨阴式子宫切除术和经腹子宫切除术的临床效果。方法:2011年-2013年对阴式子宫全切术45患者与同期特征相似的开腹子宫全切除术45例患者临床资料进行比较分析,主要有手术时间、术中出血、术后发热、术后肛门排气时间、住院时间等方面。结果:两组都成功完成手术,治疗组无中转开腹、临近脏器无损伤,无术中术后并发症。两组相比,治疗组在手术时间、术中出血、术后恢复速度、肛门排气时间等方面均比对照组好,差异有统计学意义。结论:阴式子宫切除术不仅切除了病变,也符合现代美容观念,还具有手术时间短、术中出血量少、术后恢复快、并发症少,符合微创观点。使患者恢复快,是一种值得推广的手术方法。现就本次治疗过程中所获经验报告如下。
Objective: To investigate the clinical effect of vaginal hysterectomy and abdominal hysterectomy. Methods: From 2011 to 2013, 45 patients undergoing hysterectomy for hysterectomy were analyzed retrospectively. The clinical data of 45 patients with open hysterectomy resembling hysteroscopic hysterectomy were analyzed. The main clinical data included operative time, intraoperative bleeding, postoperative fever, After anus exhaust time, hospital stay and so on. Results: The two groups were successfully completed surgery, the treatment group without laparotomy, near the organ without injury, no intraoperative and postoperative complications. Compared with the control group, the treatment group was better than the control group in the operation time, intraoperative bleeding, postoperative recovery rate, anal exhaust time, the difference was statistically significant. Conclusion: Vaginal hysterectomy not only excised the lesion, but also conformed to the concept of modern cosmetology. It also had the advantages of short operation time, less intraoperative blood loss, quick postoperative recovery and less complications, which accorded with minimally invasive point of view. So that patients recover quickly, is a worthy method of surgery. Now the experience gained during the treatment report is as follows.