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目的探讨改良式阴式子宫切除术的方法、手术效果及优越性。方法选择具备全子宫切除手术指征的非脱垂子宫83例,随机分成两组,治疗组41例行改良式阴式子宫切除术,对照组42例行腹式子宫切除术。结果改良式阴式子宫切除组的手术时间、术中出血、肛门排气时间、下床活动时间、住院时间、术后病率均明显少于腹式子宫切除组(P<0.05)。结论改良阴式子宫切除术简化手术步骤,降低手术难度,创伤小,术后恢复快,优于传统经腹子宫切除术。
Objective To explore the method, operation effect and superiority of modified vaginal hysterectomy. Methods Eighty-three cases of non-prolapsed uterus with hysterectomy indications were randomly divided into two groups. In the treatment group, 41 cases underwent modified vaginal hysterectomy and 42 cases underwent abdominal hysterectomy. Results The modified vaginal hysterectomy group had less operation time, intraoperative bleeding, anal exhaust time, ambulation time, hospital stay and postoperative morbidity than that of abdominal hysterectomy group (P <0.05). Conclusion The modified vaginal hysterectomy simplifies the procedure and reduces the difficulty of operation, less trauma and quick recovery after operation, which is better than the traditional abdominal hysterectomy.