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目的:探讨改良式经阴道全子宫切除术(ITVH)治疗非脱垂子宫全切除的临床效果。方法:选择因子宫良性病变而行子宫切除术患者100例,随机分为改良阴式子宫切除术组(TVH组)及经腹子宫切除术组(TAH组)各50例,TVH组采用ITVH,TAH组采用常规开腹子宫切除术。观察两组患者术中出血量、手术时间、术后肛门排气时间、住院时间、术后病率及疼痛程度分级和手术并发症。结果:TVH组术中出血量、手术时间、后肛门排气时间、术后病率、术后镇痛及住院时间均少于TAH组(P<0.05);术后疼痛程度(VAS评分)明显轻于TAH组(P<0.05);TVH组患者并发症的发生率8.0%(4/50),TAH组患者并发症出现率20.0%(10/50),两组差异有统计学意义(P<0.05)。结论:ITVH具有术后恢复快、术后病率低,并发症少等优点,对于非脱垂子宫切除是一种理想的术式。
Objective: To investigate the clinical effect of modified vaginal hysterectomy (ITVH) in the treatment of non-prolapsed hysterectomy. Methods: One hundred patients who underwent hysterectomy due to benign uterine lesions were randomly divided into three groups: TVH group and TAH group. The TVH group was treated with ITVH, TAH group using conventional laparotomy. Blood loss, operation time, postoperative anal exhaust time, hospital stay, postoperative morbidity and grade of pain and surgical complications were observed in two groups. Results: The blood loss, operation time, post-anal exhaust time, postoperative morbidity, postoperative analgesia and hospital stay in TVH group were less than those in TAH group (P <0.05). The postoperative pain score (VAS score) was significantly (P <0.05). The incidence of complications in TVH group was 8.0% (4/50), and the incidence of complications in TAH group was 20.0% (10/50), the difference was statistically significant (P <0.05). Conclusion: ITVH has the advantages of rapid postoperative recovery, low postoperative morbidity and few complications. It is an ideal surgical procedure for non - prolapsed hysterectomy.