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目的比较改良阴式子宫切除术与传统阴式子宫切除术治疗子宫良性病变的临床效果。方法将86例因子宫良性疾病需行子宫切除术的患者按照自愿的原则分为对照组(例数=34)和观察组(例数=52)。对照组患者行传统阴式子宫切除术治疗,观察组患者行改良阴式子宫切除术。比较两组患者术中出血量、手术时间、术后肛门排气时间以及住院时间差异。结果观察组患者术中出血量、手术时间、术后肛门排气时间以及住院时间均明显小于对照组,差异均有统计学意义(均P<0.05)。结论改良阴式子宫切除术具有创伤小、术后恢复快的优势,是一种安全有效的子宫切除术式,值得在临床推广应用。
Objective To compare the clinical effects of modified vaginal hysterectomy with traditional vaginal hysterectomy in the treatment of benign uterine lesions. Methods According to the principle of voluntarism, 86 cases with benign uterine diseases requiring hysterectomy were divided into control group (n = 34) and observation group (n = 52). Patients in the control group underwent traditional vaginal hysterectomy and patients in the observation group underwent modified vaginal hysterectomy. The blood loss, operation time, postoperative anal exhaust time and hospitalization time were compared between the two groups. Results The intraoperative bleeding, operation time, postoperative anal exhaust time and hospital stay in observation group were significantly less than those in control group (all P <0.05). Conclusion Improved vaginal hysterectomy has the advantages of less trauma and faster recovery after operation. It is a safe and effective method for hysterectomy and worthy of clinical application.