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目的观察非脱垂子宫阴式子宫切除术的临床疗效,探讨其安全性和可行性。方法选择需子宫切除的非脱垂子宫患者60例随机分为治疗组与对照组,治疗组给予阴式子宫切除术,对照组给予常规腹式子宫切除术。结果出血量、手术时间、术后肛门排气时间、住院时间治疗组分别为(85.86±18.24)ml、(55±26)min、(23.95±8.62)h、(4.26±0.50)d,对照组分别为(126.84±16.45)ml、(72±22)min、(38.85±14.26)h、(6.78±0.78)d,两组比较差异均有统计学意义(均P<0.05)。两组患者均未发生并发症,手术后3个月回访,两组患者恢复情况良好,均未发生阴道残端出血、下坠、腹痛等。结论在非脱垂子宫切除的过程中,采用阴式子宫切除术可以快捷、安全、有效地完成手术,与常规手术相比,效果明显,值得在临床推广使用。
Objective To observe the clinical efficacy of non-prolapsed uterine vaginal hysterectomy, to explore its safety and feasibility. Methods Sixty patients with non-prolapsed uterus undergoing hysterectomy were randomly divided into treatment group and control group. The treatment group received vaginal hysterectomy and the control group received conventional abdominal hysterectomy. Results The bleeding volume, operation time, postoperative anal exhaust time and hospital stay were (85.86 ± 18.24) ml, (55 ± 26) min, (23.95 ± 8.62) h and (4.26 ± 0.50) d in the control group (126.84 ± 16.45) ml, (72 ± 22) min, (38.85 ± 14.26) h and (6.78 ± 0.78) d, respectively. There were significant differences between the two groups (all P <0.05). No complications occurred in both groups. The patients were followed up for 3 months. The patients in both groups recovered well. No vaginal stump bleeding, falling, abdominal pain and so on occurred. Conclusion In the process of non-prolapsed hysterectomy, vaginal hysterectomy can be performed quickly, safely and effectively. Compared with conventional surgery, the results are obvious and worthy of clinical application.