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目的探讨非脱垂子宫经阴道切除术的临床效果及应用价值。方法回顾性对比分析非脱垂子宫经阴道切除32例与同期腹式全子宫切除术40例患者的临床资料,观察指标为平均手术时间、术中出血量、术后下床活动时间、术后肛门排气时间、术后病率、住院时间。结果观察组术后下床活动时间、肛门排气时间、术后病率、住院时间均少于对照组(P<0.01),但平均手术时间、术中出血量两组比较差异无统计学意义(P>0.05)。结论与腹式子宫全切术相比,阴式子宫切除术有明显的优越性,是一种安全可行的微创手术,为子宫良性疾病提供了一种很好的选择。
Objective To investigate the clinical effect and clinical value of transvaginal non-prolapsed uterus. Methods The clinical data of 32 cases with non-prolapsed uterus by vaginal resection and 40 cases with abdominal hysterectomy in the same period were retrospectively analyzed. The observation indexes included the average operation time, intraoperative blood loss, postoperative ambulation time, Anal exhaust time, postoperative morbidity, length of stay. Results The time of ambulation, anal exhaust time, postoperative morbidity and hospital stay in the observation group were less than those in the control group (P <0.01), but there was no significant difference between the two groups in mean operative time and intraoperative blood loss (P> 0.05). Conclusion Compared with abdominal hysterectomy, vaginal hysterectomy has obvious advantages, is a safe and feasible minimally invasive surgery, which provides a good choice for benign uterine disease.