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目的:探讨三种不同术式子宫切除方式的临床应用效果。方法:回顾性分析102例子宫切除患者的临床资料,分为3组:CISH组30例,TVH组45例,TAH组27例,对3组患者的手术时间、术中出血量及术后情况进行比较。结果:平均手术时间CISH组(123±18)min、TAH组(85±24)min、TVH组(92±23)min,CISH组明显较TAH组、TVH组延长;平均术中出血量TAH组(180±53)ml,TVH组(103±39)ml、CISH组(115±38)ml,TAH组明显较CISH组、TVH组明显增加;肛门排气时间、术后体温升高的发生率、平均住院日CISH组,TVH组较TAH组明显缩短,差异均有统计学意义(P<0.05),术后的平均费用比较CISH组明显较TAH组、TVH组高。结论:三种不同术式比较,各有其优势及局限性,在术前应对患者进行综合评估,采取最合适患者的术式。
Objective: To investigate the clinical effect of three different surgical hysterectomy methods. Methods: A retrospective analysis of 102 cases of hysterectomy in patients with clinical data, divided into three groups: CISH group 30 cases, TVH group 45 cases, TAH group 27 cases, 3 groups of patients operating time, blood loss and postoperative condition Compare. Results: Mean operative time was significantly longer in CISH group (123 ± 18) min, TAH group (85 ± 24) min, TVH group (92 ± 23) min, CISH group than TAH group and TVH group (180 ± 53) ml, TVH group (103 ± 39) ml, CISH group (115 ± 38) ml, TAH group was significantly higher than that of CISH group and TVH group.The incidence of anal exhaust time and postoperative body temperature increased (P <0.05). The mean postoperative costs of CISH group and TVH group were significantly shorter than those of TAH group and TVH group (P <0.05). Conclusion: Compared with the three different surgical procedures, each has its own advantages and limitations. The patients should be evaluated comprehensively before surgery and the most appropriate surgical procedure should be taken.