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目的:比较新式非脱垂子宫经阴道切除术与腹式子宫切除术的临床效果。方法:回顾性分析2007年1月~2008年12月行子宫切除治疗的68例非脱垂性子宫良性病变的临床资料,根据手术方式的不同分为:新式阴式子宫切除术组(A组)和经腹子宫切除术组(B组),比较两组手术时间、术中出血量、术后疼痛、术后并发症的发病率、术后48 h内肛门排气情况及住院时间。结果:A组手术时间、住院时间、术后并发症的发病率及术后疼痛情况均低于B组,差异有统计学意义(P<0.01)。A组48 h内肛门排气情况好于B组,差异有统计学意义(P<0.01)。A组的术中出血量高于B组,差异无统计学意义(P>0.05)。结论:新式阴式子宫切除较腹式子宫切除手术时间短、患者创伤小、术后恢复快,符合微创的原则,具有临床推广价值。
OBJECTIVE: To compare the clinical efficacy of the new non-prolapsed uterus vaginal hysterectomy and abdominal hysterectomy. Methods: The clinical data of 68 cases of non-prolapsed uterine benign lesions underwent hysterectomy from January 2007 to December 2008 were retrospectively analyzed. According to the different surgical methods, the new vaginal hysterectomy group (group A) ) And abdominal hysterectomy group (group B). The operation time, intraoperative blood loss, postoperative pain, incidence of postoperative complications, anal exhaust and hospital stay within 48 h after operation were compared. Results: The operation time, hospitalization time, incidence of postoperative complications and postoperative pain in group A were lower than those in group B, with significant difference (P <0.01). Anal exhaust in group A within 48 h was better than group B, the difference was statistically significant (P <0.01). The blood loss in group A was higher than that in group B, the difference was not statistically significant (P> 0.05). Conclusion: Compared with abdominal hysterectomy, the new type of vaginal hysterectomy has shorter operation time, less trauma and faster postoperative recovery, which accords with the principle of minimally invasive surgery and has clinical value of popularization.