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目的:探讨改良非脱垂大子宫经阴道切除术(TVH)的手术优越性及其在基层医院开展的可能性。方法:选择在嘉峪关市第一人民医院妇产科2011年1月~12月住院的孕12~18周非脱垂大子宫孕妇56例,患者经阴道改良切除术治疗,并与传统的经腹子宫切除术(TAH)40例患者进行对照,比较两种手术方式的术中、术后情况。结果:改良的大子宫经阴道切除术的手术时间短、术中出血少、术后活动早、排气早、术后发热时间和住院时间均明显少于腹式组(P<0.05)。结论:改良非脱垂大子宫经阴道切除术与传统的经腹子宫切除术相比术后恢复快、微创、效果好、腹部无疤痕、术后疼痛轻、安全可行,优于传统开腹手术,适合在基层医院推广应用。
Objective: To investigate the superiority of surgery for the improvement of non-prolapsed large hysterectomy (TVH) and its feasibility in primary hospitals. Methods: Fifty-six pregnant women with non-prolapsed large uterus admitted to Department of Obstetrics and Gynecology, the First People’s Hospital of Jiayuguan City from January to December 2011 were enrolled in this study. The patients underwent vaginal modified resection and were treated with traditional abdomen Hysterectomy (TAH) 40 patients were compared to compare the two surgical methods of surgery, postoperative conditions. Results: Transvaginal hysterectomy in the modified large hysterectomy had less operation time, less bleeding during operation, earlier postoperative activity, earlier discharge, postoperative fever and hospital stay than those in the abdominal group (P <0.05). Conclusion: The modified non-prolapsed large uterine transvaginal resection compared with the traditional abdominal hysterectomy recovered faster, minimally invasive, effective, no scar in the abdomen, postoperative pain, safe and feasible, better than the traditional open abdominal Surgery, suitable for promotion and application in primary hospitals.