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目的:探讨血管闭合钳在非脱垂子宫阴式全切手术(TVH)中的临床应用。方法:回顾性分析在医院妇科进行的非脱垂子宫阴式全切术78例患者的临床资料,随机分为研究组和对照组,研究组43例宫旁组织用闭合钳处理,对照组35例用传统缝扎处理。对两组手术时间、术中出血量、切除子宫大小、术后发热率及手术并发症等进行比较。结果:研究组手术时间为(97.90±37.84)min,对照组(121.94±38.68)min,差异有统计学意义(P<0.01);研究组术后发热率39.5%,对照组术后发热率5.7%,差异有统计学意义(P<0.01)。结论:术中配合使用血管闭合钳有利于缩短TVH手术时间,且不增加并发症,值得临床推广。
Objective: To investigate the clinical application of vascular closure forceps in non-prolapsed uterus vaginal total tamponade (TVH). Methods: The clinical data of 78 cases of non-prolapsed uterus vaginal total hysterectomy in the hospital gynecology were retrospectively analyzed. They were randomly divided into study group and control group, 43 cases of study group were treated with closed forceps, and 35 cases of control group Example using traditional suture processing. The operation time, intraoperative blood loss, uterine size, postoperative fever rate and surgical complications were compared between the two groups. Results: The operation time was 97.90 ± 37.84 min in the study group and 121.94 ± 38.68 min in the control group, the difference was statistically significant (P <0.01). The postoperative fever rate was 39.5% in the study group and 5.7 %, The difference was statistically significant (P <0.01). Conclusion: Intraoperative use of vascular closure forceps is helpful to shorten the TVH operation time, and does not increase the complications, is worth clinical promotion.