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目的分析并评价非脱垂子宫经阴道切除术的临床应用效果。方法将亳州市人民医院自2009年11月至2011年1月收治的非脱垂子宫良性疾病并实施经阴道子宫切除术的80例患者作为观察组;选择同期住院手术指征相同的78例经腹全子宫切除术患者作为对照组,对比分析两组患者的术中手术时间、估计出血量、术后排气时间、术后性交疼、术后发病率、残端息肉以及术后镇痛率。结果观察组患者的手术时间与估计出血量均少于对照组,两组相比差异显著(P<0.05),具有统计学意义,观察组有1例术中发生膀胱损伤。观察组在术后排气时间、术后镇痛率以及术后发病率方面均低于对照组,两组比较差异极显著(P<0.01),具有统计学意义;观察组术后残端息肉高于对照组,两组比较差异显著(P<0.05),具有统计学意义;两组患者在术后性交疼痛方面比较无明显差异(P>0.05),不具有统计学意义。结论经阴道子宫切除术具有手术损伤小、患者痛苦轻微、术中出血量小以及不在体表留下疤痕等优点,被认为是一种较为理想的术式,提倡在临床上广泛推广应用。
Objective To analyze and evaluate the clinical effect of non-prolapsed hysteroscopic vagotomy. Methods 80 cases of non-prolapsed uterine benign disease who underwent transvaginal hysterectomy in Bozhou People’s Hospital from November 2009 to January 2011 were selected as the observation group. 78 cases with the same indication of hospitalization during the same period Abdominal hysterectomy patients as a control group, comparative analysis of two groups of patients operating time, estimated bleeding, postoperative exhaust time, pain after surgery, postoperative morbidity, stump polyps and postoperative analgesia . Results The operation time and estimated bleeding in the observation group were less than those in the control group. There was significant difference between the two groups (P <0.05), with statistical significance. One case of bladder injury occurred in the observation group. The observation group was significantly lower than the control group in postoperative exhaust time, postoperative analgesia rate and postoperative morbidity, the difference between the two groups was significant (P <0.01), with statistical significance; the observation group postoperative stump polyps The difference between the two groups was significant (P <0.05), which was statistically significant. There was no significant difference between the two groups in postoperative pain of intercourse (P> 0.05), which was not statistically significant. Conclusion Transvaginal hysterectomy has the advantages of small surgical injury, mild pain, small amount of intraoperative blood loss and no scar left on the surface. It is considered as an ideal surgical procedure and is widely used in clinical practice.