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目的:探讨非脱垂大子宫经阴道子宫全切的手术方法和效果。方法:89例非脱垂大子宫行阴式子宫全切和86例大子宫经腹式全切,对两种术式的手术时间、术中出血、术后病率、术后排气时间、术后住院时间进行对比。结果:两种术式手术成功率为100%,阴式组手术时间、术中出血、术后病率、术后排气时间、术后住院时间均小于开腹组,有统计学意义。结论:非脱垂大子宫行阴式子宫全切具有腹部无瘢痕、术后创伤小等微创手术的特点,是低创、效优的手术方式,值得临床应用推广。
Objective: To investigate the method and effect of total vaginal hysterectomy in non-prolapsed large uterus. Methods: Eighty-nine cases of non-prolapsed large uterus underwent vaginal hysterectomy and 86 cases of large uterus underwent abdominal total abdominal resection. The operative time, intraoperative bleeding, postoperative morbidity, postoperative exhaust time, Postoperative hospital stay compared. Results: The success rate of two surgical procedures was 100%. The operation time, intraoperative bleeding, postoperative morbidity, postoperative exhaust time and postoperative hospital stay in the vaginal group were all less than those in the open group, which were statistically significant. Conclusion: The non-prolapsed large uterus line vaginal hysterectomy with abdominal scar, small trauma and other minimally invasive surgery is low invasive, effective surgical approach, it is worth promoting the clinical application.