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目的探讨非脱垂子宫经阴道和经腹切除两种手术方法临床疗效的优缺点。方法回顾性对比分析非脱垂子宫经阴道切除术(216例)和开腹子宫切除术(230例)的临床资料,比较两组手术时间、术中出血量、住院时间、术后肛门排气时间、下床活动时间。结果经阴道切除组(TVH组)与开腹组(TAH组)比较手术时间和术中出血量差异无统计学意义(P>0.05),TVH组患者住院天数,术后肛门排气时间及下床活动时间均较经腹组更短更早,差异有统计学意义(P<0.01)。结论非脱垂子宫经阴道切除符合微创手术原则,具有对病人损伤小、术后恢复快、并发症少、住院时间短的优点。
Objective To investigate the advantages and disadvantages of two methods of transvaginal and transabdominal resection of non-prolapsed uterus. Methods The clinical data of 216 cases with non-prolapsed uterus and 230 cases with open hysterectomy were retrospectively analyzed. The operative time, intraoperative blood loss, hospital stay, postoperative anal exhaust Time, time to get out of bed. Results There was no significant difference in operative time and intraoperative blood loss between transvaginal group (TVH group) and open group (TAH group) (P> 0.05), hospitalization days, postoperative anal exhaust time and The time of bed activity was shorter and earlier than that of the abdomen group, the difference was statistically significant (P <0.01). Conclusions Transvaginal excision of non-prolapsed uterus meets the principle of minimally invasive surgery. It has the advantages of less damage to the patient, quick recovery after operation, less complications and shorter hospital stay.