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目的探讨子宫大小为孕10周~孕14周阴式子宫切除术手术方法。方法 2009年1月—2012年6月在灵宝市第一人民医院将子宫大小为孕10周~孕14周,随机分为两组,分别行改良式阴式子宫切除术90例作为观察组,传统阴式子宫切除术90例作为对照组,观察手术时间,术中出血量,术后排气时间。结果手术时间改良阴式全子宫切除组(31±24min)短于传统阴式全子宫切除组(90±25)min,P<0.05,术中出血量改良组(78±25)mL,少于传统组(150±27)mL,P<0.05,术后排气时间改良组(18±4)h短于传统组(29±6)h,P<0.05,改良式阴式子宫切除术在手术时间、术中出血量、术后排气时间与传统阴式子宫切除术比较有显著差异性(P<0.05)。结论在子宫较大时改良式阴式子宫切除术明显优于传统阴式子宫切除术。改良阴式全子宫切除术改善术中关键步骤,有效缩短手术时间,减少术中出血,缩短术后恢复时间。
Objective To investigate the method of vaginal hysterectomy for pregnant uterus from 10 weeks to 14 weeks. Methods From January 2009 to June 2012, the first People’s Hospital of Lingbao City, the uterus size of 10 weeks pregnant ~ 14 weeks pregnant were randomly divided into two groups, respectively, modified vaginal hysterectomy 90 cases as the observation group , 90 cases of traditional vaginal hysterectomy as a control group, observation of operative time, intraoperative blood loss, postoperative exhaust time. Results The operative time was significantly shorter in the vaginal hysterectomy group (31 ± 24 min) than in the conventional vaginal hysterectomy group (90 ± 25) min, P <0.05, and the mean blood loss in the group of 78 ± 25 mL was less than In the traditional group (150 ± 27) mL, P <0.05, the time of postoperative expelling time (18 ± 4) h was shorter than that of the conventional group (29 ± 6) h, P <0.05. The modified vaginal hysterectomy Time, intraoperative blood loss, postoperative exhaust time and conventional vaginal hysterectomy were significantly different (P <0.05). Conclusions The modified vaginal hysterectomy is significantly better than the traditional vaginal hysterectomy when the uterus is larger. Improved vaginal hysterectomy to improve the key steps in surgery, effectively shortening the operation time, reduce intraoperative bleeding and shorten the recovery time.