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目的 评价非脱垂瘢痕子宫阴式和腹式全切术的临床效果。方法 选择于 2002年 1月至 2003年10月在仁济医院妇科住院的非脱垂瘢痕子宫患者。其中行阴式子宫全切术 38例,术中于子宫瘢痕处采用筋膜内锐性分离的方法,分解子宫膀胱粘连。以 59例行常规腹式子宫全切术患者为对照组。对两组的手术时间、术中出血量和术后住院天数等方面的差异进行前瞻性研究。结果 阴式组的手术时间与腹式组相比差异无显著意义(P>0.05);阴式组的术中出血量和术后住院天数明显少于腹式手术组,差异有显著性意义(P值分别为P<0.05和P<0.01)。结论 非脱垂瘢痕子宫行经阴式全切术优于经腹式全切术。
Objective To evaluate the clinical effect of vaginal and abdominal total excision of non-prolapsed scar. Methods From January 2002 to October 2003, patients with non-prolapsed scarring were hospitalized in Gynecology Department of Renji Hospital. One line of hysterectomy hysterectomy in 38 cases, during surgery in the uterine scar fascia by sharp separation method to decompose the uterine bladder adhesions. Fifty-nine patients underwent routine abdominal hysterectomy as the control group. The two groups of operation time, blood loss and postoperative hospital days and other differences between the prospective study. Results There was no significant difference in operation time between the vaginal group and the abdominal group (P> 0.05). The amount of intraoperative blood loss and postoperative hospital stay in the vaginal group was significantly less than that in the abdominal operation group (P> 0.05) P values were P <0.05 and P <0.01, respectively). Conclusions Transvaginal total hysterectomy of non-prolapsed scar is better than transabdominal total hysterectomy.