子宫体三角形切除同步宫颈环行电切疗效观察  

A therapeutic effect observation of 28 cases of triangle hysterectomy simultaneously combined with LEEP

作　　者：金顺玉[1] 徐海波[1] 董丹旭 

机构地区：[1]延边肿瘤医院,吉林延吉133000 [2]图们市人民医院,吉林图们133100

出　　处：《中国妇幼健康研究》2009年第2期236-238,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨子宫体三角形切除术同步宫颈环行电切术的可行性，以期提高患者术后生活质量。方法对子宫体良性疾病需切除子宫，同时伴有宫颈上皮内瘤变的56例患者随机分为两组：对观察组28例患者行子宫体三角形切除术同步宫颈环行电切术，对照组28例患者行子宫体三角形切除术后3个月再行宫颈环行电切术。对两组子宫体三角形切除术的术后排气时间、术后病率、术后下地活动时间和宫颈环行电切术的术中出血量、术后出血、术后颈管狭窄粘连等并发症进行比较。结果观察组子宫体三角形切除术后排气时间为20．25±5．25小时，术后病率2例（7．14％），术后下地活动时间为21．80±4．35小时；对照组术后排气时间为19．60±4．80小时，术后病率2例（7．14％），术后下地活动时间为21．20±3．46小时，两组经比较无统计学差异（P〉0．05）。观察纽宫颈环行电切术后并发症术中出血量为10．50±5．25mL，术后出血4例（14．29％），无颈管狭窄病例；对照组术中出血量为9．90±5．30mL，术后出血3例（10．71％），无颈管狭窄病例，两组经比较无统计学差异（P〉0．05）。结论子宫体三角形切除术同步宫颈环行电切术可应用于需切除子宫的患者，有效地提高患者术后生活质量。Objective To study feasibility of triangle hysterectomy simultaneously combined with loop electrosurgical excision procedure （LEEP） so as to improve patients＇ postoperative quality of life. Methods 56 patients who had a benign diseases in body of uterus and cervical intraepithelial neoplasia （ CIN ） were treated in Department of Gynecology and Obstetrics of Yanbian Tumor Hospital and Tumen Municipal People＇ s Hospital over a period from June 2003 to June in 2008 were randomly divided into two groups ： study group （ n = 28） and control group （n = 28）. The patients in the study group received triangle hysterectomy simultaneously combined with LEEP, while those patients in the control group received triangle hysterectomy at first and were retreated with LEEP after three months. The postoperative gas pass from anus time, postoperative infection rate, postoperative about time following triangle hysterectomy, and intraoperative blood loss, postoperative blood loss, postoperative cervical adheision and stenosis following LEEP in the two groups were compared. Results In the study group, postoperative gas pass from anus time was 20.25 ±5.25h, postoperative infection rate was 7.14% and postoperative about time was 21.80 ±4.35h. In the control group, postoperative gas pass from anus time was 19.60 ±4.80h,pestoperative infection rate was 7.14% and postoperative about time was 21.20 ± 3.46h. There were no significant differences in above indices following triangle hysterectomy （ all P 〉 0.05 ）. Following LEEP, in the study group, the intraoperative blood loss was 10.50 ± 5.25 mL, the postoperative hemorrhage rate was 14.29%, no postoperative cervical stenosis occured. In the control group, the intraoperative blood loss was 9.90 ± 5.30 mL, the postoperative hemorrhage rate was 10. 71%, no postoperative cervical stenosis occured, too. There were no significant differences in above indices between the two groups （ all P 〉 0.05 ）. Conclusion Triangle hysterectomy simultaneously combined wit

关 键 词：子宫体三角形切除术 宫颈环行电切术 宫颈上皮内瘤变 术后生活质量 

分 类 号：R713[医药卫生—妇产科学]