日间手术与住院手术模式应用于子宫肌瘤电切术对患者术中出血量、血红蛋白、血清钠及预后的影响  

Effect of daytime operation and inpatient operation mode on intraoperative blood loss,hemoglobin,serum sodium and prognosis in patients with hysteromyoma resection

作　　者：刘洋[1] 陈樑[1] LIU Yang;CHEN Liang(Department of Gynecology, Deyang People′s Hospital, Sichuan Province, Deyang 618000, China)

机构地区：[1]四川省德阳市人民医院妇科,四川德阳618000

出　　处：《河北医科大学学报》2020年第7期797-800,共4页Journal of Hebei Medical University

基　　金：四川省卫生健康委员会科研课题(20PJ240)。

摘　　要：目的探讨日间手术与传统住院手术模式应用于宫腔镜子宫肌瘤电切术对患者术中、术后以及预后的影响。方法选取符合日间手术标准的106例黏膜下子宫肌瘤患者,分为日间手术(观察组)和传统住院手术(对照组)各53例,比较两组患者术中的出血量、术后血红蛋白和血清钠含量、术后并发症、术后肌瘤残留、月经量改善情况。结果两组患者在术中出血量、术后血红蛋白和血清钠含量、术后并发症发生率、肌瘤残留及月经量改善率差异也均无统计学意义(P>0.05)。结论日间手术不会增加宫腔镜子宫肌瘤电切术的风险,且相较于传统住院手术模式优势明显,值得大力推广。Objective To explore the effect of day surgery and traditional hospital operation mode applied to hysteroscopic hysteromyoma resection on patients'intraoperative,postoperative and prognosis.Methods A total of 106 patients with submucosal uterine fibroids who met the standard of day surgery in our hospital were selected.53 cases were performed during day surgery(observation group)and traditional hospitalization surgery(control group),and the intraoperative blood loss,postoperative hemoglobin And serum sodium content,postoperative complications,postoperative fibroids residual,and menstrual flow improvement were compared between the two groups.Results There was no statistically significant difference in the amount of intraoperative blood loss,postoperative hemoglobin and serum sodium content between the two groups of patients(P>0.05);The difference in postoperative complication rate,fibroids residual and menstrual volume improvement rate between two groups of patients There was no statistical significance(P>0.05).Conclusion Day surgery does not increase the risk of hysteroscopic hysteromyoma resection,and it has obvious advantages over traditional inpatient surgical models and is worthy of vigorous promotion.

关 键 词：子宫肿瘤 宫腔镜 日间手术 出血量 并发症 

分 类 号：R737.33[医药卫生—肿瘤]