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目的 探讨非脱垂子宫经阴道改良切除的可行性及方法。方法 将10 3例子宫肌瘤、子宫腺肌瘤、功能性子宫出血等需行全子宫切除术的患者随机分为两组,常规经腹式全子宫切除术(腹式组) 5 8例,经阴道全子宫切除术(阴式组) 4 5例,比较两种手术方法的优劣。结果 阴式组较腹式组手术时间短,术中出血少,术后痛苦少;4 8h内肛门排气阴式组4 0例(88 .9% ) ,腹式组31例(5 3. 4 % ) ;平均住院天数阴式组5 .1d ,腹式组7 1d。结论 新式非脱垂子宫的阴式全子宫切除术相对于经腹式全子宫切除术有一定的优势,但要严格选择其手术适应证。
Objective To investigate the feasibility and method of transvaginal excision of non-prolapsed uterus. Methods Totally 103 patients with uterine fibroids, adenomyosis and functional uterine bleeding were randomly divided into two groups. Conventional abdominal total hysterectomy (abdominal group), 58 cases, Transvaginal hysterectomy (vaginal group) 45 cases, the pros and cons of two surgical methods. Results The vaginal group had shorter operative time, less bleeding and less postoperative pain than the abdominal group; 40 cases (88.9%) with anal exhaust in 48 h and 31 cases in abdominal group (53%). 4%); average length of stay vaginal group 5.1d, abdominal group 7ld. Conclusions Vaginal hysterectomy in the new non-prolapsed uterus has some advantages over the transabdominal hysterectomy. However, surgical indications should be strictly selected.