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目的探讨改良式阴式子宫切除术的手术方法以及临床疗效。方法回顾性分析50例行改良式阴式子宫切除术患者的临床资料。结果 50例行改良式阴式子宫切除术患者均顺利完成手术,手术时间60~150 min,平均手术时间92.5 min,出血量80~250 ml,平均出血量120 ml。术后患者胃肠功能恢复1~2 d,体温恢复正常1~3 d,手术效果满意,无并发症发生。50例患者均痊愈出院,门诊随访3个月~2年,无远期并发症的发生。结论改良式阴式子宫切除术创伤小,简化手术步骤,手术时间更短,降低手术难度,术中出血更少,患者术后恢复快,住院时间更短,术后并发症更少,优于传统经腹子宫切除术,值得临床推广应用。
Objective To explore the modified vaginal hysterectomy surgical methods and clinical efficacy. Methods The clinical data of 50 patients undergoing modified vaginal hysterectomy were retrospectively analyzed. Results Fifty patients undergoing modified vaginal hysterectomy successfully completed the operation. The operation time was 60-150 minutes, the average operation time was 92.5 minutes, the bleeding volume was 80-250 ml and the average bleeding volume was 120 ml. Postoperative patients with gastrointestinal function recovery 1 ~ 2 d, body temperature returned to normal 1 ~ 3 d, satisfactory results, no complications. All 50 patients were cured and discharged. Outpatients were followed up for 3 months to 2 years without any long-term complications. Conclusion The modified vaginal hysterectomy has the advantages of less trauma, simplified operation procedures, shorter operation time, less operation difficulty, less intraoperative bleeding, faster postoperative recovery, shorter hospital stay and fewer postoperative complications Traditional abdominal hysterectomy, it is worthy of clinical application.