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目的对非脱垂子宫阴式子宫切除术进行临床分析。方法2005年6月至2007年6月,回顾100例子宫切除患者,腹式50例,阴式50例,比较两组手术时间、术中出血、体温高峰、术后排气时间、下床时间、住院天数、术后镇痛。结果阴式手术时间,术中出血量,体温高峰,术后排气时间,下床时间,住院天数明显短于腹式组,P<0.01。阴式无一例需镇痛,腹式均需静脉镇痛。结论非脱垂阴式子宫切除对患者损伤小,并发症少,费用低,住院时间短的优点。
Objective To analyze the clinical results of non-prolapsed uterus vaginal hysterectomy. Methods From June 2005 to June 2007, 100 cases of hysterectomy, 50 cases of abdomen and 50 cases of vagina were retrospectively analyzed. The operative time, intraoperative bleeding, peak body temperature, postoperative exhaust time, bed ambulation time , Hospital days, postoperative analgesia. Results The time of vaginal surgery, blood loss, peak body temperature, postoperative exhaust time, bed time and hospitalization days were significantly shorter than those in the abdominal group (P <0.01). No case of vaginal analgesia, abdominal vein pain were required. Conclusion Non-prolapse vaginal hysterectomy has the advantages of less injury, fewer complications, lower cost and shorter hospital stay.