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目的总结非脱垂子宫病变手术治疗的最佳方式。方法对2010年1月至2011年6月59例非脱垂子宫病变患者经阴道子宫全切术41例和经腹子宫全切手术18例的临床资料进行回顾性分析。结果非脱垂子宫病变患者经阴道行子宫全切术平均手术时间(103±17)min,术后疼痛、手术后肛门排气时间、住院时间等均较经腹组差异有统计学意义(P均<0.01),两组平均出血量比较差异无统计学意义(P>0.05)。结论经阴道行子宫全切术较经腹行子宫全切术相比具有手术时间短、创伤小、疼痛轻微、无手术瘢痕、腹腔干扰少、进食时间早、住院时间短、对手术设备要求不高等优点,适合基层医院。
Objective To summarize the best way of surgical treatment of non-prolapsed uterine lesions. Methods The clinical data of 41 cases of vaginal hysterectomy and 18 cases of abdominal total hysterectomy in 59 cases of non-prolapsed uterine lesions from January 2010 to June 2011 were analyzed retrospectively. Results The mean operative time of vaginal hysterectomy (103 ± 17) min in patients with non-prolapsed uterine lesions was significantly lower than that of transabdominal groups (P All <0.01). There was no significant difference between the two groups in average amount of bleeding (P> 0.05). Conclusions Transvaginal hysterectomy has shorter operative time, less trauma, less pain, no surgical scar, less abdominal disruption, shorter feeding time and shorter hospital stay than those undergoing total hysterectomy Higher advantages, suitable for primary hospitals.