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目的:探讨阴式全宫切除术(LAVH)在改善子宫肌瘤患者预后的应用价值。方法:选取2014年1月至2015年1月龙川县人民医院收治的200例子宫肌瘤患者,按临床随机数表法分为对照组和观察组各100例。对照组给予传统开腹全宫切除术(TAH)治疗,而观察组则给予LAVH治疗。统计分析两组的术中出血量、肛门排气时间、手术时间、住院时间及术后并发症发生情况,术后30 d采用SF-36量表对两组患者进行生活质量评分。结果:与对照组相比,观察组患者术中出血量、手术时间、住院时间和肛门排气时间显著降低(P<0.05);观察组患者手术后生理功能、生理职能、躯体疼痛、总体健康、社会功能、活力、情感职能和精神健康共8个维度的生活质量得分均显著高于对照组的(P<0.05);观察组患者术后并发症的发生率明显较对照组低,差异有统计学意义(P<0.05)。结论:LAVH治疗子宫肌瘤可提高患者的生存质量,疗效确切,安全性高。
Objective: To investigate the value of vaginal hysterectomy (LAVH) in improving the prognosis of patients with uterine fibroids. Methods: From January 2014 to January 2015, 200 cases of uterine fibroids in Longchuan County People’s Hospital were enrolled and divided into control group and observation group according to clinical random number table method. The control group received conventional open hysterectomy (TAH), while the observation group received LAVH. Statistical analysis of the two groups of intraoperative blood loss, anal exhaust time, operation time, hospital stay and postoperative complications, 30d after the use of SF-36 scale for quality of life in both groups were scored. Results: Compared with the control group, the intraoperative bleeding, operation time, hospital stay and anal exhaust time in the observation group were significantly decreased (P <0.05). The postoperative physical function, physical function, physical pain, general health (P <0.05). The incidence of postoperative complications in the observation group was significantly lower than that in the control group (P <0.05), and there was significant difference between the observation group and the control group Statistical significance (P <0.05). Conclusion: LAVH treatment of uterine fibroids can improve the quality of life of patients with effective and safe.