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目的探讨经阴道子宫全切手术治疗子宫肌瘤患者的临床效果。方法选取2013年3月至2014年6月辽宁省凤城市中心医院妇产科收治的60例子宫肌瘤患者作为研究对象,随机按住院顺序将其分为观察组和对照组,各30例。对照组患者采用经腹子宫全切手术,观察组患者行经阴道子宫全切手术,比较两组患者的住院时间、术中出血量及24 h内肛门排气情况。结果观察组患者住院时间明显短于对照组,术中出血量明显少于对照组,24 h内肛门排气率明显高于对照组,差异均有统计学意义(均P<0.05)。结论应用经阴道子宫全切手术治疗子宫肌瘤患者疗效确切,具有创伤小、术中出血量少、患者恢复快等优点。
Objective To investigate the clinical effect of transvaginal hysterectomy in patients with uterine fibroids. Methods From March 2013 to June 2014, 60 patients with uterine leiomyoma treated by Department of Obstetrics and Gynecology, Fengcheng Central Hospital of Liaoning Province were selected as study subjects, and randomly divided into observation group and control group with 30 cases in each group. The patients in the control group underwent transabdominal hysterectomy. The patients in the observation group underwent transvaginal hysterectomy. The length of hospital stay, intraoperative blood loss and anal exhaust within 24 h were compared between the two groups. Results The hospitalization time of the observation group was significantly shorter than that of the control group. The blood loss during operation was significantly less than that of the control group. The rate of anal exhaust in 24 h was significantly higher than that of the control group (all P <0.05). Conclusion The application of transvaginal hysterectomy in the treatment of uterine fibroids in patients with exact efficacy, with less trauma, less blood loss, patients with faster recovery and so on.