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目的探讨非脱垂子宫阴式子宫切除术的临床应用价值。方法分析2006年10月-2010年2月妇产科手术的非脱垂子宫因良性病变行子宫全切除术的患者80例,随机分成两组,每组40例,对照组施行传统腹式子宫全切除术,观察组施行阴式子宫全切除术,比较手术时间、术中出血量、术后疼痛程度、平均住院天数。结果 40例阴式子宫全切除术手术成功,无术中术后并发症。两组对照手术时间差异无统计学意义,术中出血量、平均住院天数差异有统计学意义(P<0.05)。术后疼痛程度差异有统计学意义(P<0.01)。结论阴式子宫切除术具有术中出血少、腹腔干扰小、术后疼痛轻、并发症少、恢复快、住院天数短等优点,是值得推广的一种子宫切除方法。
Objective To investigate the clinical value of non-prolapsed uterine vaginal hysterectomy. Methods From October 2006 to February 2010, 80 cases of non-prolapsed uterus in obstetrics and gynecology underwent hysterectomy due to benign diseases were randomly divided into two groups (40 cases in each group). The control group received conventional abdominal uterus Total resection, the observation group performed vaginal hysterectomy, compare the operation time, intraoperative blood loss, postoperative pain, the average length of stay. Results 40 cases of vaginal hysterectomy surgery was successful, no intraoperative and postoperative complications. There was no significant difference in the operation time between the two groups. The amount of blood loss and average length of hospital stay were significantly different (P <0.05). The difference of postoperative pain degree was statistically significant (P <0.01). Conclusions Vaginal hysterectomy has the advantages of less intraoperative bleeding, less abdominal interference, less postoperative pain, fewer complications, faster recovery and shorter days of hospitalization. It is worth to promote a hysterectomy.