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目的探讨“T”形切口在阴式子宫次全切除术的可行性和临床效果。方法分析总结阴道前壁倒“T”形切口、普通器械行阴式行子宫次全切术82例(阴式组)及同期腹腔镜下行子宫次全切除术82例(腹腔镜组)患者围手术期情况。结果 2组手术时间、术中出血量、术后发热、手术并发症、肛门排气时间、术后恢复情况比较差异无统计学意义(P>0.05),腹腔镜组住院费用高于阴式组(P<0.05)。结论 “T”形切口应用于经阴道途径子宫次全切除手术中安全、实用,可降低术中子宫翻转的难度。
Objective To investigate the feasibility and clinical effect of “T” shaped incision in vaginal hysterectomy. Methods Analysis and summary of vaginal anterior wall inverted “T ” shaped incision, general equipment line vaginal hysterectomy in 82 cases (vaginal group) and laparoscopic hysterectomy in 82 cases (laparoscopic group) Perioperative conditions of patients. Results There was no significant difference in operative time, blood loss, postoperative fever, operative complications, anal exhaust time and postoperative recovery between the two groups (P> 0.05). The hospitalization cost of laparoscopic group was higher than that of negative group (P <0.05). Conclusion The T-shaped incision is safe and practical in transvaginal subtotal hysterectomy, which can reduce the difficulty of intraoperative uterine inversion.