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目的探讨大子宫行经阴道改良切除术的可行性与安全性。方法 72例大子宫患者依据手术方式分为2组,对照组35例采用常规经腹子宫切除术,观察组37例选择经阴道改良切除术。观察2组术中及术后一般情况、术后病率及镇痛药使用率。结果 2组手术过程均顺利,观察组无中转开腹病例,观察组手术时间((56.45±9.15)min)、术中出血量((100.41±16.59)mL)以及术后肛门排气时间((12.79±5.51)h)、下床活动时间((20.12±5.58)h)、住院时间((5.01±1.19)d)均少于对照组((75.62±9.18)min、(126.52±16.58)mL、(24.52±5.48)h、(35.09±5.61)h、(7.12±1.18)d)(P<0.05),观察组术后病率(5.41%)、镇痛药使用率(5.41%)均低于对照组(22.86%、25.71%)(P<0.05)。结论大子宫行经阴道改良切除术安全、可行。
Objective To investigate the feasibility and safety of transvaginal resection in the large uterus. Methods Seventy-two cases of large uterus were divided into two groups according to the operation method. 35 cases of control group received routine abdominal transcervical hysterectomy and 37 cases of observation group received vaginal modified resection. Two groups were observed intraoperative and postoperative general conditions, postoperative morbidity and analgesic usage. Results The operation of the two groups was smooth and the patients in the observation group had no laparotomy. The operative time (56.45 ± 9.15) min, the amount of bleeding during the operation (100.41 ± 16.59) mL and the time of postoperative anal exhaust The mean time to bed ambulation was (20.12 ± 5.58) h and the length of hospital stay was (5.01 ± 1.19) d less than that of the control group (75.62 ± 9.18) min and (126.52 ± 16.58) mL respectively, (24.52 ± 5.48) h, (35.09 ± 5.61) h and (7.12 ± 1.18) d respectively (P <0.05). The postoperative morbidity (5.41%) and analgesic use rate in the observation group (5.41% Control group (22.86%, 25.71%) (P <0.05). Conclusions Transvaginal resection of the large uterus is safe and feasible.