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目的探讨经阴道子宫切除术的手术方法及临床应用价值。方法改良行经阴道子宫切除术,随机把250例需行切除子宫患者分为125例经阴式组和125例经腹式组,两组作对比分析。结果阴式组较腹式组在手术时间、术中出血量多于腹式组(P<0.05),在术后镇痛、排气时间、住院少于腹式组,有统计学差异(P<0.01);两组术后满意度、性生活满意度无明显差异(P<0.01)。结论阴式子宫切除术具有不需作腹部切口、体表不留瘢痕、手术时创伤小、术后恢复快、患者满意度高等优点,值得在临床广泛应用。
Objective To investigate the surgical methods and clinical value of transvaginal hysterectomy. Methods To improve vaginal hysterectomy, 250 cases of patients with uterus resection were randomly divided into 125 cases of transvaginal group and 125 cases of transabdominal group, the two groups for comparative analysis. Results Compared with the abdominal group, the amount of bleeding during surgery and operation was significantly higher in the vaginal group than in the abdominal group (P <0.05), and there was a significant difference in postoperative analgesia, exhaust time and hospitalization less than the abdominal group (P <0.01). There was no significant difference between the two groups in postoperative satisfaction and sexual life satisfaction (P <0.01). Conclusions Vaginal hysterectomy has the advantages of not requiring abdominal incision, no scar on body surface, less trauma during operation, faster postoperative recovery and higher patient satisfaction, which is worthy of wide application in clinic.