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目的:探讨非脱垂子宫阴式子宫次全切除术的临床效果。方法:选取住院治疗患有子宫疾病需进行子宫次全切除术的患者80例,按照随机对照原则将患者分为观察组和对照组各40例,观察组给予非脱垂阴式子宫切除术进行治疗,对照组给予常规开腹手术进行治疗;观察两组手术时间、手术出血量、术后排气时间、住院时间、镇痛药使用率及术后并发症发生情况并进行对比分析。结果:观察组患者手术时间、手术出血量、术后排气时间、住院时间、镇痛药使用率明显低于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生情况明显低于对照组,差异有统计学意义(P<0.05)。结论:非脱垂阴式子宫次全切除术与开腹子宫次全切除术相比具有手术时间短、出血量少、术后恢复快、并发症少等优点,值得临床推广应用。
Objective: To investigate the clinical effect of subtotal hysterectomy in non-prolapsed uterus. Methods: 80 hospitalized patients with uterine disease were selected for subtotal hysterectomy. According to the principle of randomized control, the patients were divided into observation group (40 cases) and control group (40 cases). The observation group was given non-prolapsed vaginal hysterectomy The patients in the control group were treated by conventional laparotomy. The operation time, blood loss, postoperative exhaust time, hospitalization time, analgesic use rate and postoperative complications were observed and compared. Results: The operation time, blood loss, postoperative exhaust time, hospitalization time and the analgesic usage rate in the observation group were significantly lower than those in the control group (P <0.05). Postoperative complications occurred in the observation group The situation was significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusion: Non-prolapsed vaginal hysterectomy and open subtotal hysterectomy compared with shorter operative time, less bleeding, postoperative recovery quick, fewer complications, it is worthy of clinical application.