摘要
目的比较两种不同术式的子宫切除对患者的影响。方法选取2005年1月-2006年12月经腹子宫切除患者84例,经阴道子宫切除患者84例,比较两组患者的手术一般情况,术后恢复及术后病率。结果①经腹子宫切除和经阴道子宫切除手术时间分别为(85.12±12.11)min和(42.24±14.15)min,两者有显著性差异(P<0.01),经腹子宫切除和经阴道子宫切除术中出血量分别为(178.00±56.75)ml和(120.00±45.25)ml,两者比较有显著性差异(P<0.01),②经腹子宫切除和经阴道子宫切除组术后排气时间分别为(40.22±12.15)h、(35.00±6.52)h,两者比较有显著性差异(P<0.01);术后病率分别为7.1%、2.4%,两组比较有显著性差异(P<0.05)。结论经阴道子宫切除与开腹手术相比具有手术时间短、创伤小,对腹腔脏器干扰小,术后疼痛轻、康复快、腹部不留瘢痕,更符合微创观念。
Objective To evaluate the effects on patients of two methods with vaginal hysterectomy and abdominal hysterectomy. Methods 84 cases of abdominal hysterectomy and 84 cases of vaginal hysterectomy oeeured in our hospital from Jan 2005 to Dec 2006 were selected and compared on common conditions, postoperative rehabilitation and postoperative morbidity. Results ①The operation time and the amount of blood during operation of vaginal hysterectomy were （42.24 ± 14. 15 ） min and （120. 00 ±45.25）ml,whieh were siganifieantly less than those of abdominal hysterectomy （85.12 ± 12. 11 ） min and （ 178.00 ± 56. 75 ） ml, （ P 〈 0. 01 and P 〈 0. 001 respectively）. ②The time of passing flatus and postoperative morbidity of vaginal hytereetomy were （35.00 ±6.52）h and 2.4% which were also siganifieantly less than those of abdominal hysteretomy （40. 22 ± 12. 15 ）h,7.1% （ P 〈 0.01 and P 〈 0. 05 respectively）. Conclusion Vaginal hysterectomy group is safer, more effective, less injury and pain, quick recovery as well as no visible sear.
出处
《医药论坛杂志》
2007年第5期55-56,59,共3页
Journal of Medical Forum
关键词
子宫切除术
术后并发症
术后病率
Hysterectomy
Postoperative complications
Postoperative morbidity
