改良阴式全子宫切除术治疗子宫脱垂的效果研究  

Effect of modified vaginal hysterectomy on uterine prolapse

作　　者：刘志琴 Liu Zhiqin(Department of Obstetrics and Gynecology,Jiangyan Hospital of Traditional Chinese Medicine,Taizhou 225500,China)

机构地区：[1]江苏省泰州市姜堰中医院妇产科,江苏泰州225500

出　　处：《实用妇科内分泌电子杂志》2022年第9期17-19,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的分析改良阴式全子宫切除术治疗子宫脱垂的临床效果。方法选取40例子宫脱垂患者,根据随机数字表法分为对照组与研究组,每组20例。对照组实施常规阴式全子宫切除术治疗,研究组实施改良阴式全子宫切除术治疗。对比两组患者手术相关指标、手术前后心理状态及术后并发症发生情况。结果研究组手术时间、排气时间及住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。手术前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分对比,差异无统计学意义(P>0.05);手术后,两组SAS评分、SDS评分均低于手术前,且研究组明显低于对照组,差异具有统计学意义(P<0.05)。研究组患者术后并发症发生率为5.00%,明显低于对照组的30.00%,差异有统计学意义(P<0.05)。结论改良阴式全子宫切除术治疗子宫脱垂效果明显,安全性高,可缓解患者不良情绪,促使患者快速康复,具有推广应用价值。Objective To analyze the clinical effect of modified vaginal hysterectomy in the treatment of uterine prolapse.Methods 40 patients with uterine prolapse were selected and divided into control group and study group according to random number table method,with 20 cases in each group.The control group was treated with conventional vaginal total hysterectomy,while the study group was treated with modified vaginal total hysterectomy.Surgery-related indicators,psychological state before and after operation and postoperative complications were compared between the two groups.Results The operation time,exhaust time and hospital stay of the study group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,and the differences were statistically significant(P<0.05).Before surgery,there was no significant difference in the scores of self-rating anxiety scale(SAS)and self-rating Depression Scale(SDS)between the two groups(P>0.05).After operation,the SAS score and SDS score of the two groups were lower than those before operation,and the study group was significantly lower than the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the study group was 5.00%,which was significantly lower than 30.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Modified vaginal total hysterectomy in the treatment of uterine prolapse has obvious effect,high safety can relieve the patients'bad mood,promote the rapid recovery of patients,and has the value of popularization and application.

关 键 词：子宫脱垂 改良阴式全子宫切除术 临床疗效 

分 类 号：R713.4[医药卫生—妇产科学]