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目的 通过对经阴道子宫全切除术的术式的改进 ,减少阴式子宫切除术的危险及手术并发症 ,使阴式子宫切除术能够得到广泛开展。方法 我们对 1994年以来在我院接受改良式经阴道子宫切除术的 5 9例患者的手术及术后情况进行分析 ,并与同期进行的腹式子宫切除术进行比较。结果 5 9例患者的术中出血、手术时间及术后病率、术后恢复与腹式子宫全切除术无差异。其中有 12例同时接受了盆底修补术 ,无 1例发生手术及术后并发症。结论 研究表明我院开展的改良阴式子宫切除术减少了阴式子宫切除术的手术危险及难度 ,易掌握及推广
Objective Vaginal hysterectomy surgery to improve the surgical procedures to reduce the risk of vaginal hysterectomy and surgical complications, so that vaginal hysterectomy can be widely carried out. Methods We analyzed the surgical and postoperative outcomes of 59 patients who underwent modified vaginal hysterectomy in our hospital since 1994 and compared them to abdominal hysterectomy during the same period. Results There were no differences in intraoperative bleeding, operation time, postoperative morbidity, postoperative recovery and total abdominal hysterectomy in 59 patients. Twelve of them received pelvic floor repair at the same time, none of them had surgery and postoperative complications. Conclusions Studies have shown that modified vaginal hysterectomy performed in our hospital reduces the risk and difficulty of vaginal hysterectomy and is easy to grasp and promote