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目的讨改良术式用于非脱垂大子宫经阴道切除的临床价值。方法对376例非脱垂大子宫采用经阴道切除术,其中200例采用改良术式(改良组),176例采用传统术式(传统组),比较两组患者的手术时间、术中出血量、术后病率、术后排气时间。结果术中出血量改良组明显少于传统组,差异具有统计学意义(P<0.05),其他指标均无明显差异(P>0.05)。结论改良术式对非脱垂大子宫经阴道切除出血少,风险小,安全可行。
Objective To discuss the clinical value of modified technique for transvaginal excision of non-prolapsed large uterus. Methods 376 cases of non-prolapsed large uterus were treated by transvaginal resection. Among them, 200 cases were treated by modified technique (modified group) and 176 cases were treated by conventional surgical technique (traditional group). The operation time, blood loss , Postoperative disease rate, postoperative exhaust time. Results The blood loss in operation improved significantly less than the traditional group, the difference was statistically significant (P <0.05), other indicators were no significant difference (P> 0.05). Conclusions The modified operation is safe and feasible for vaginal resection of non-prolapsed large uterus with less risk of bleeding and less risk.