改良阴式子宫切除术在子宫或宫颈良性病变中的临床应用分析  

Analysis of the Clinical Application of Improved Vaginal Hysterectomy for Benign Uterus or Cervical Lesions

作　　者：胡仲任[1] 

机构地区：[1]福建医科大学附属漳州市医院妇产科,福建漳州363000

出　　处：《中外医疗》2016年第8期7-9,共3页China & Foreign Medical Treatment

摘　　要：目的分析改良阴式子宫切除术在子宫或宫颈良性病变中的临床应用。方法随机选择该院2012年1月—2014年1月收治的子宫或宫颈良性病变患者100例,根据数字随机原则将全部患者分成对照组和实验组各50例,对照组患者给予传统阴式子宫切除术治疗,实验组患者则给予改良阴式子宫切除术治疗;对两组患者的术中平均时间、术中出血量、住院时间以及术后并发症发生情况进行对比分析。结果实验组患者的住院时间(5.1±2.0)d、术中平均时间(46.14±12.05)min显著短于对照组患者的住院时间(8.2±2.1)d、术中平均时间(102.24±35.32)min(P<0.05),术中出血量(83.41±10.13)m L显著少于对照组患者的术中出血量(248.08±29.62)m L(P<0.05)。对患者进行为期1年的随访发现,实验组患者术后阴道残端息肉、阴道残端脱垂发生率(0.0%)显著低于对照组患者的术后并发症发生率(6.0%)(P<0.05)。结论改良阴式子宫切除术能让手术适应证扩大,让手术难度降低,让术中患者出血量和所需时间缩短,同时让患者住院时间缩短,术后并发症发生率低,对患者生活质量影响不大,而且不需要特殊的手术器械,值得临床推广和应用。Objective To analyze the clinical application of improved vaginal hysterectomy in benign uterus or cervical lesions. Methods 100 cases with benign uterus or cervical lesions admitted in our hospital from January 2012 to January2014 were selected and randomly divided into the control group and experimental group, with 50 cases in each. Patients in the control group were treated with traditional vaginal hysterectomy, and those in the experimental group were treated with improved vaginal hysterectomy. The mean intraoperative time, intraoperative blood loss, length of stay and incidence of postoperative complications of the two groups were analyzed and compared. Results Compared with the control group, the experimental group had much shorter length of stay [（5.1±2.0）d vs（8.2±2.1）d], obviously mean intraoperative time [（46.14±12.05）min vs（102.24±35.32）min]（P〈0.05）; and much less intraoperative blood loss [（83.41 ±10.13）m L vs（248.08 ±29.62）m L]（P〈0.05）. The result of 1-year follow-up showed that the incidence of vaginal stump polyps and vaginal stump prolapse in the experimental group was much lower than the incidence of postoperative complications in the control group（0.0% vs 6.0%）（P〈0.05）. Conclusion Improved vaginal hysterectomy extends the surgical indications, reduces the difficulty of operation, shortens the intraoperative time and length of stay, decreases the intraoperative blood loss, with low incidence of postoperative complications and little effect on the quality of life, moreover, the surgery does not require special surgical instruments, so it is worthy of clinical promotion and application.

关 键 词：改良阴式子宫切除术 子宫 宫颈良性病变 临床应用 

分 类 号：R713.42[医药卫生—妇产科学]