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目的分析改良阴式全子宫切除术的优点,推进新手术方法的临床应用。方法采用改良阴式全子宫切除术,治疗非子宫脱垂的良性病变患者100例,观察手术并发症、手术时间、术中出血量、住院天数等情况。结果所有患者均顺利完成手术,无1例发生膀胱、输尿管及直肠损伤或术后尿潴留手术中转开腹。手术平均时间(55.2±19.6)min,术中平均出血量(112.5±36.8)ml,平均住院天数(4.3±2.5)d。所有患者均于术后24 h拔除导尿管。结论改良阴式全子宫切除术具有安全、创伤小、恢复快等优势,是子宫良性病变需切除全子宫患者的首选治疗方法。
Objective To analyze the advantages of modified vaginal hysterectomy and to promote the clinical application of new surgical methods. Methods A total of 100 cases of benign lesions of non-uterine prolapse were treated with modified vaginal hysterectomy. The complication, operation time, intraoperative blood loss and hospitalization days were observed. Results All the patients were successfully performed the operation, no one had bladder, ureter and rectal injury or postoperative urinary retention surgery conversion laparotomy. The mean operation time was (55.2 ± 19.6) min, mean intraoperative blood loss was (112.5 ± 36.8) ml, average length of hospital stay was (4.3 ± 2.5) d. All patients were removed at 24 h after catheterization. Conclusion The modified vaginal hysterectomy with safety, less trauma, faster recovery and other advantages, is the preferred treatment of patients with uterine uterine total hysterectomy need removal.