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目的探讨阴式子宫切除术在子宫腺肌病的应用效果。方法选择2013年1月至2015年1月行子宫切除术的子宫腺肌病患者113例,随机分为阴式子宫切除术63例(TVH组)和腹式子宫切除术50例(TAH组),比较两组临床指标。结果 TVH组手术时间、术中出血量、肛门排气时间、住院时间、住院费用、感染率、术后体温恢复时间、术后疼痛评分、术后远期并发症等临床指标均优于TAH组,差异有统计学意义(P<0.05)。结论阴式子宫切除术具有创伤小、恢复快、并发症少等特点,适用于子宫腺肌病的手术治疗。
Objective To investigate the effect of vaginal hysterectomy on adenomyosis. Methods 113 patients with adenomyosis underwent hysterectomy from January 2013 to January 2015 were randomly divided into three groups: TVH group (63 cases) and vaginal hysterectomy group (TAH group) , Comparing the two groups of clinical indicators. Results The clinical parameters of TVH group were better than TAH group in operation time, intraoperative blood loss, anal exhaust time, hospitalization time, hospitalization cost, infection rate, postoperative body temperature recovery time, postoperative pain score and postoperative long-term complications , The difference was statistically significant (P <0.05). Conclusion Vaginal hysterectomy has the advantages of less trauma, faster recovery and fewer complications, which is suitable for the surgical treatment of adenomyosis.