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目的探讨非脱垂子宫经阴道切除术的手术方法、临床效果与适应证。方法非脱垂子宫经阴道子宫切除术(TVH)157例,与同期指征相同的经腹全子宫切除术(TAH)160例作对比分析。结果TVH组手术均成功,无术中、术后并发症。术中出血、术后肛门排气时间、下床活动时间、术后病率、住院时间均小于TAH组,两组差异有统计学意义(P<0.01),手术时间以及术后3个月阴道残端愈合比较差异无统计学意义(P>0.05)。结论阴式非脱垂子宫切除术后患者的恢复优于腹式子宫切除术,是一种效果好、低创的手术方式。
Objective To investigate the surgical methods, clinical effects and indications of transvaginal non-prolapsed uterus. Methods 157 cases of non-prolapsed uterus vaginal hysterectomy (TVH), with the same period indications of the same transabdominal total hysterectomy (TAH) 160 cases for comparative analysis. Results All patients in TVH group were successful in operation, with no intraoperative or postoperative complications. Intraoperative bleeding, postoperative anal exhaust time, ambulation time, postoperative morbidity, hospitalization time were less than TAH group, the difference between the two groups was statistically significant (P <0.01), operation time and 3 months after surgery vaginal Stump healing was no significant difference (P> 0.05). Conclusion The recovery of patients after vaginal non-prolapsed hysterectomy is better than that of abdominal hysterectomy, which is a good and low invasive surgery.