摘要
目的:观察阴式子宫切除术与开腹子宫切除术的临床效果及安全性,探讨其临床意义。方法:将2009年1月～2012年1月在我科行子宫切除术92例患者随机分为观察组和对照组各46例,观察组给予阴式子宫切除术,对照组给予传统开腹子宫切除术,观察两组患者术中、术后及并发症情况,并进行对比分析。结果:观察组手术时间及术中出血量均明显低于对照组(P<0.01);观察组术后排气时间、下床活动时间及平均住院时间均明显低于对照组(P<0.01);两组患者手术并发症发生率比较无显著差异(P>0.05)。结论:阴式子宫切除术较开腹子宫切除术具有创伤小、恢复快、并发症少等优点,但应注意其手术指证,临床可根据患者个体情况选择合适的手术方式,以达到最佳治疗效果。
Objectives： To observe the clinical effect and safety of vaginal hysterectomy and abdominal hysterectomy. Methods： Ninety - two patients treated with hysterectomy in our department from January 2009 to January 2012 were randomly di- vided into the observation group and the control group, with 46 patients in each group. The observation group was treated with va- ginal hysterectomy while the control group was treated with traditional abdominal hysterectomy. The intraoperative and postopera- tive conditions and complications of the two groups were observed and compared. Results： Compared with the control group, the observation group had shorter operation time and less blood loss volume （P 〈 0.01 ） ; postoperative exhaust time, leaving bed time and average hospital stay were significantly shorter in the observation than in the control group （ P 〈 0.01 ） ; there was no signifi- cant difference （ P 〉 0.05 ） in the complication occurrences between the two groups. Conclusion： Compared with abdominal hys- terectomy, vaginal hysterectomy has the advantages of less trauma, fewer complications and quick recovery. However, doctors should pay attention to patients＇ operative indications and choose optimal surgical approach according to individual patient＇ s con- dition.
出处
《中国性科学》
2012年第7期39-41,共3页
Chinese Journal of Human Sexuality
关键词
阴式子宫切除术
开腹子宫切除术
手术时间
出血量
并发症
Vaginal hysterectomy
Abdominal hysterectomy
Operation time
Blood loss volume
Complications
