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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。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 .0 0 1) ,平均出血量稍多 (P>0 .0 5 ) ,术后疼痛、发热率低 (P<0 .0 0 1) ,肛门排气时间早 (P<0 .0 0 1) ,术后平均住院时间短 (P<0 .0 0 1)。结论 :阴式子宫切除较腹式子宫切除手术时间短 ,损伤少 ,腹腔干扰轻 ,术后胃肠功能恢复早 ,疼痛轻 ,发热率低 ,术后一周内出院的多 ,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较好的方法
Objective: To study the vaginal (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 operative time was significantly shorter in the vaginal group (P0.01), the average amount of bleeding was slightly higher (P0.05), the postoperative pain and fever rate were lower (P0.01) 0 1), anus exhaust time was earlier (P <0.01), and the average length of stay was shorter (P <0.01). Conclusions: Vaginal hysterectomy has the advantages of short duration, less injury, less abdominal interference, earlier recovery of gastrointestinal function, less pain, lower fever rate, more discharged in one week after operation, no incision scars on the abdominal wall , Welcomed by patients. For patients with non-prolapsed uterus ≤ 80 days pregnant uterine size, surgical indications for uterine resection, vaginal hysterectomy is a better method