改良阴式子宫切除术在子宫脱垂治疗中的有效性及安全性探讨  

Efficacy and safety of modified vaginal hysterectomy in the treatment of uterine prolapse

作　　者：肖茜 Xiao Xi(Department of Gynecology,Xingpu Hospital,Suzhou Industrial Park,Suzhou 215161,China)

机构地区：[1]苏州市工业园区星浦医院妇科,江苏苏州215161

出　　处：《实用妇科内分泌电子杂志》2022年第24期26-29,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的研究改良阴式子宫切除术在子宫脱垂治疗中的有效性及安全性。方法择取30例行手术治疗的子宫脱垂患者,根据随机数字表法分为对照组与研究组,每组15例。对照组患者实施传统阴式子宫切除术治疗,研究组患者实施改良阴式子宫切除术治疗。比较两组治疗效果。结果手术前,两组血清C反应蛋白(CRP)、白细胞介素-6(IL-6)及肿瘤坏死因子-α(TNF-α)水平比较,差异无统计学意义(P>0.05);手术后,两组CRP、IL-6及TNF-α水平均高于手术前,但研究组明显低于对照组,差异具有统计学意义(P<0.05)。研究组手术时间、住院时间均明显短于对照组,术中出血量少于对照组,差异具有统计学意义(P<0.05)。研究组并发症发生率低于对照组,但差异无统计学意义(P>0.05)。研究组总有效率为93.00%,明显高于对照组的60.00%,差异具有统计学意义(P<0.05)。结论相比传统阴式子宫切除术,子宫脱垂患者实施改良阴式子宫切除术的有效性与安全性均更优。Objective To study the efficacy and safety of vaginal hysterectomy in the treatment of uterine prolapse.Methods 30 patients with uterine prolapse undergoing surgical treatment were selected and divided into control group and study group according to random number table method,with 15 cases in each group.The control group received traditional vaginal hysterectomy,and the study group received modified vaginal hysterectomy.The therapeutic effect of the two groups was compared.Results Before operation,there were no significant differences in serum C-reactive protein(CRP),interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)levels between 2 groups(P>0.05).After surgery,the levels of CRP,IL-6 and TNF-α in both groups were higher than before surgery,but the levels in the study group were significantly lower than those in the control group,with statistical significance(P<0.05).The operation time and hospital stay of the study group were significantly shorter than that of the control group,and the intraoperative blood loss was less than that of the control group,the difference was statistically significant(P<0.05).The complication rate of the study group was lower than that of the control group,but the difference was not statistically significant(P>0.05).The total effective rate of the study group was 93.00%,which was significantly higher than that of the control group(60.00%),the difference was statistically significant(P<0.05).Conclusion Compared with traditional vaginal hysterectomy,modified vaginal hysterectomy is more effective and safer for patients with uterine prolapse.

关 键 词：子宫脱垂 阴式子宫切除术 安全性 

分 类 号：R713.42[医药卫生—妇产科学]