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目的:对非脱垂子宫经阴道(阴式)切除开展临床研究与技术改进。方法:对术前已排除恶性病变的非脱垂子宫切除的患者,分为阴式和腹式两组进行临床观察。结果:阴式组较腹式组平均手术时间短(P<0.001),平均出血量较多(P>0.05),术后疼痛、发热率低(P<0.001),肛门排气时间早(P<0.001),术后平均住院时间短(P<0.001)。结论:阴式子宫切除较腹式子宫切除手术时间短,损伤小,腹腔干扰轻,术后胃肠功能恢复早,疼痛轻,发热率低,术后1周内出院者多,腹壁不留切口疤痕,深受患者欢迎。对于非脱垂子宫≤80天妊娠子宫大小的患者,有切除子宫的手术指征,阴式子宫切除是一种理想术式。
Objective: To carry out clinical research and technical improvement of transvaginal (vaginal) resection of non-prolapsed uterus. Methods: Patients with non-prolapsed hysterectomy who had been excluded before surgery were divided into vaginal and abdominal groups for clinical observation. Results: Compared with the abdominal group, the mean operation time was shorter (P <0.001) and the average amount of bleeding was more significant (P> 0.05). The postoperative pain and fever rate were lower (P <0.001) <0.001), mean postoperative hospital stay was shorter (P <0.001). Conclusions: Vaginal hysterectomy has the advantages of short time, less injury, less abdominal interference, earlier recovery of gastrointestinal function, less pain and lower fever rate, more discharged within 1 week after operation, no incision in abdominal wall Scar, welcomed by patients. For non-prolapsed uterus ≤ 80 days pregnant uterine size patients, there are surgical indications for hysterectomy, vaginal hysterectomy is an ideal surgical procedure.