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目的探讨非脱垂子宫经阴道全子宫切除术与经腹全子宫切除术的二种术式的利弊。方法对有全子宫切除手术指征的患者,非脱垂的经阴道全切除术60例和经腹全子宫切除术60例的资料进行回顾性分析,从两种术式的手术时间、术中出血量、术后排气时间、住院时间、术后体温、术后抗生素使用等方面分析比较。结果两种术式在手术时间、术后排气时间、术中出血量、住院时间、术后体温、术后抗生素使用等方面,差异有统计学意义(P<0.05)。结论非脱垂子宫经阴道全子宫切除术具有创伤小、恢复快、术后并发症少、住院时间短、住院费用低、腹部无瘢痕、术后疼痛轻等优点,是一种值得推广和应用的微创手术。
Objective To investigate the advantages and disadvantages of two kinds of operation of vaginal hysterectomy and transabdominal hysterectomy in non-prolapsed uterus. Methods A retrospective analysis of 60 cases of non-prolapsed vaginal total resection and 60 cases of transabdominal total hysterectomy was performed in patients with indications for hysterectomy. From the time of operation, Bleeding, postoperative exhaust time, hospital stay, postoperative body temperature, postoperative antibiotic use and other aspects of analysis and comparison. Results There were significant differences in operation time, postoperative exhaust time, intraoperative blood loss, hospitalization time, postoperative body temperature, postoperative antibiotic use, etc. (P <0.05). Conclusion Non-prolapsed uterus vaginal hysterectomy with trauma, rapid recovery, fewer postoperative complications, shorter hospital stay, hospitalization costs, scarred abdomen, postoperative pain and other advantages, is a worthy of promotion and application Minimally invasive surgery.