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目的比较非脱垂子宫阴式切除与腹式切除的临床疗效,探讨阴式宫切的可能性。方法随机抽取2008年6月—2009年12月就诊的具有子宫切除适应症的患者136例,阴式组与腹式组各68例,比较两组手术时间、术中出血量、术后排气时间及住院时间。结果两种术式在手术时间、排出血量、术后排气时间及住院时间等方面差异有统计学意义(P<0.05)。结论阴式宫切具有手术效果好、创伤小、手术时间短、术中出血少、术后康复快、不增加手术并发症等优点,是一种值得推广应用的微创手术。是子宫附件良性病变和需切除子宫的早期恶性病变手术的首选方法。
Objective To compare the clinical efficacy of vaginal resection and abdominal resection in non-prolapsed uterus and to explore the possibility of vaginal uterine incision. Methods A total of 136 patients with hysterectomy indications from June 2008 to December 2009 were randomly selected, 68 patients in the vaginal group and 68 in the abdominal group. The operation time, intraoperative blood loss, postoperative exhaust Time and hospital stay. Results There were significant differences in operation time, discharge volume, postoperative exhaust time and hospital stay between the two procedures (P <0.05). Conclusions Yin Gong Gong has the advantages of good operation effect, less trauma, shorter operation time, less intraoperative bleeding, faster postoperative recovery and no increase of operative complications. It is a minimally invasive surgery worthy of promotion and application. Is the preferred method of uterine attachment benign lesions and early malignant lesions requiring removal of the uterus.