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目的:探讨不同子宫全切手术的优缺点。方法:选择我院2009年2月至2013年2月需行子宫全切除手术的90例患者,随机分为对照组与观察组,对照组45例,观察组45例,观察组行筋膜内子宫全切手术,对照组行筋膜外手术,对两组患者的术后效果进行观察。结果:观察组患者术后并发症发生率相比观察组低,(P<0.05)差异有统计学意义。从术中出血量、术后住院时间、术后排气时间、手术时间等方面进行对比,观察组皆优于对照组,(P<0.05)差异有统计学意义。结论:筋膜内子宫切除术术后并发症少,术中出血量少、术后恢复快、组织损伤小,值得临床进一步推广。
Objective: To investigate the advantages and disadvantages of total hysterectomy. Methods: Ninety patients undergoing total hysterectomy from February 2009 to February 2013 in our hospital were randomly divided into control group and observation group, 45 cases in control group, 45 cases in observation group, Uterine total resection surgery, the control group underwent extrafascial surgery, the effect of two groups of patients were observed. Results: The incidence of postoperative complications in the observation group was lower than that in the observation group (P <0.05), and the difference was statistically significant. From the amount of blood loss, postoperative hospital stay, postoperative exhaust time, operative time and so on, the observation group were better than the control group (P <0.05), the difference was statistically significant. Conclusion: There are few postoperative complications, less blood loss, quick recovery after operation, and less tissue damage in hysterectomy. It is worth further clinical promotion.