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目的:回顾性分析不结扎主、骶韧带的阴式全子宫切除术的临床疗效。方法:选取2013年1月~2014年3月在该院行子宫切除术的60例患者为研究对象,随机分为两组:观察组(30例)行不结扎主、骶韧带的阴式全子宫切除术;对照组(30例)行结扎主、骶韧带的阴式全子宫切除术。对比观察两组手术时间、术中出血量、镇痛剂使用情况、住院时间、术后阴道出血及并发症发生情况。结果:观察组手术时间、使用镇痛剂、排气时间、住院时间、术后阴道出血及并发症发生率与对照组比较,差异均有统计学意义(P<0.05),两组术中出血量比较差异无统计学意义(P>0.05)。结论:采取不结扎主、骶韧带的阴式全子宫切除术是一种比较理想且操作简单的术式,与其他术式相比优势明显,建议临床继续使用。
Objective: To retrospectively analyze the clinical effects of vaginal hysterectomy without ligation of the main and the sacral ligaments. Methods: Sixty patients who underwent hysterectomy in our hospital from January 2013 to March 2014 were selected and randomly divided into two groups: the observation group (n = 30) underwent vaginal surgery without ligation of the main and sacral ligaments Hysterectomy; control group (30 cases) ligation of the main, sacral ligament vaginal hysterectomy. The operation time, intraoperative blood loss, analgesic usage, hospital stay, postoperative vaginal bleeding and complications were compared between the two groups. Results: The operation time, analgesic, exhaust time, hospital stay, postoperative vaginal bleeding and the incidence of complications in the observation group were significantly different (P <0.05), the intraoperative bleeding The difference was not statistically significant (P> 0.05). Conclusion: Vaginal hysterectomy without ligation of the main and sacral ligaments is an ideal and easy-to-use surgical procedure, which has obvious advantages over other surgical procedures and is recommended for clinical use.