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目的:探讨比较非脱垂子宫经阴道切除术与经腹切除术综合疗效。方法:选取2008年于该院进行手术治疗的72例良性疾病患者为研究对象,将其随机分为A组(经阴道切除术组)36例和B组(经腹切除术组)36例,后将两组患者的手术时间、术中出血量、排气时间、住院时间及术后的VAS评分、并发症发生率及治疗前后的血清IL-2、IL-6、IL-10及CRP水平进行统计及比较。结果:A组的手术时间、排气时间及住院时间均显著短于B组,术中出血量少于B组,并发症发生率低于B组,VAS评分优于B组,而血清IL-2、IL-6、IL-10及CRP水平变化幅度小于B组,经比较,P<0.05或P<0.01,有统计学差异。结论:非脱垂子宫经阴道切除术较经腹切除术综合疗效明显,对患者的机体影响较小,值得临床推广应用。
Objective: To compare the efficacy of non-prolapsed uterus vaginal resection and transabdominal resection. Methods: A total of 72 patients with benign diseases undergoing surgical treatment in this hospital were enrolled in this study. They were randomly divided into 36 cases in group A (transvaginal resection group) and 36 cases in group B (transabdominal group) The operation time, intraoperative blood loss, excretion time, postoperative hospital stay and postoperative VAS score, complication rate and serum IL-2, IL-6, IL-10 and CRP levels before and after treatment were compared between the two groups Statistics and comparison. Results: The operation time, exhaust time and hospitalization time in group A were significantly shorter than those in group B. The intraoperative blood loss was less than that in group B, the complication rate was lower than that in group B, VAS score was better than that in group B. The serum IL- 2, IL-6, IL-10 and CRP levels were lower than those in group B (P <0.05 or P <0.01, respectively). Conclusion: Non-prolapsed uterine transvaginal resection is more effective than transabdominal resection and has less effect on the patient’s body. It is worthy of clinical application.