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目的:探讨分析阴式子宫切除术的临床效果。方法:选取具有子宫切除术适应症患者424例,随机分为腹式组和阴式组,各212例。腹式组采用腹式子宫切除术,阴式组采取阴式子宫切除术,比较2组术中、术后及手术并发症情况。结果:阴式组手术时间、术中出血量、术后肛门排气时间、住院时间、镇痛药使用及住院费用均低于腹式组,且组间差异比较具有显著统计学意义(P<0.01);2组手术并发症发生率比较无统计学意义(P>0.05)。结论:阴式子宫切除术临床效果好,手术并发症少,值得推广应用。
Objective: To analyze the clinical effect of vaginal hysterectomy. Methods: A total of 424 patients with hysterectomy indications were selected and randomly divided into abdominal group and vaginal group, with 212 cases in each group. Abdominal hysterectomy was performed in the abdominal group, and vaginal hysterectomy was performed in the vaginal group. The intraoperative, postoperative and operative complications were compared between the two groups. Results: The operation time, intraoperative blood loss, postoperative anal exhaust time, hospitalization time, the use of analgesics and hospitalization expenses were all lower in the vaginal group than those in the abdominal group, and the difference between the groups was statistically significant (P < 0.01). There was no significant difference in the incidence of surgical complications between the two groups (P> 0.05). Conclusion: Vaginal hysterectomy has good clinical effect and few complications. It is worth popularizing and applying.