宫颈锥切除术后行子宫切除术的时机选择探讨  

Discussion on the Timing of Hysterectomy After Cervical Conization

作　　者：王丽平[1] WANG Liping(Department of Obstetrics and Gynecology, The Second Hospital of Shanxi Medical University, West Hospital, Taiyuan Shanxi 030053, China)

机构地区：[1]山西医科大学第二医院西院妇产科,山西太原030053

出　　处：《中国卫生标准管理》2017年第16期53-54,共2页China Health Standard Management

摘　　要：目的研究分析宫颈锥切除术后子宫切除术的时机选择。方法选取我院2010年2月—2016年3月的宫颈原位癌症和宫颈上皮瘤变(CINⅡ~Ⅲ级)患者共87例,所有患者均在接受宫颈锥切除术后再次实施子宫切除术。根据两次手术所间隔的时间将所有患者平均分为三组,分别为锥切术后6周(A组)、锥切术后72 h内(B组)以及锥切术后72 h^1周内(C组),每组29例。观察三组患者的手术时间、住院时间、术中出血量以及抗生素使用时间。结果 A组患者的住院时间、术中出血量以及抗生素使用时间低于B组与C组,差异有统计学意义(P<0.05);三组患者的手术时间比较,差异无统计学意义(P>0.05)。结论在宫颈锥切除术后6周实施子宫切除术的时机最为合理,能够缩短患者用药时间、住院时间,减少术中出血量,治疗效果更好。Objective To study the timing of hysterectomy after cervical conization.Methods87cases with cervical in situ carcinoma and cervical epithelial neoplasia(CINⅡtoⅢgrade)in our hospital from February2010to March2016were selected.All patients were underwent hysterectomy after cervical conization.All patients were divided into three groups according to the time interval between the two operations:6weeks after conization(group A),72h after conization(group B)and72h to1week(Group C),29cases in each group.The operation time,hospitalization time,intraoperative blood loss and antibiotic use time were observed.Results The time of hospitalization,intraoperative blood loss and antibiotic use in group A were lower than those in group B and group C.The difference was statistically significant(P<0.05).There was no significant difference in the operation time between the three groups(P>0.05).Conclusion The time of hysterectomy is the most reasonable at6weeks after cervical conization,which can shorten the time of hospitalization,the time of hospitalization,reduce the amount of intraoperative blood loss and the treatment effect is better.

关 键 词：宫颈锥切除术 子宫切除术 手术时间 

分 类 号：R737[医药卫生—肿瘤]