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目的:探讨顺行式阴式全子宫切除手术的可行性及临床应用价值。方法:对2008年7月~2010年7月行顺行式阴式全子宫切除80例与传统阴式全子宫切除75例临床资料进行回顾性分析。结果:顺行式组术中出血量(106.5±43.6)ml、手术时间(47.5±16.4)min、肛门排气时间(26.3±2.8)h和术后病率2.5%均小于传统组的(189.3±54.20)ml、(62.4±18.9)min、(33.8±6.5)h和12%(P<0.05)。结论:与传统阴式全子宫切除手术相比,顺行式阴式全子宫切除具有直观、简便、手术时间短、术中出血少、术后病率低等优势,是一种值得推广的手术方式。
Objective: To investigate the feasibility and clinical value of antegrade vaginal hysterectomy. Methods: From July 2008 to July 2010, 80 cases of retrograde vaginal hysterectomy and 75 cases of traditional vaginal hysterectomy were retrospectively analyzed. Results: The mean blood loss (106.5 ± 43.6) ml, operation time (47.5 ± 16.4) min, anal exhaust time (26.3 ± 2.8) h and postoperative morbidity were 2.5% ± 54.20) ml, (62.4 ± 18.9) min, (33.8 ± 6.5) h and 12%, respectively (P <0.05). Conclusion: Compared with the traditional vaginal hysterectomy, cis-style vaginal hysterectomy with intuitive, simple, short operative time, less blood loss, postoperative morbidity and other advantages, is a worthy of promotion of surgery the way.