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目的探讨阴式子宫全切术对复杂子宫肌瘤患者术后生活质量的影响。方法 80例复杂子宫肌瘤患者,随机分为观察组(50例)与对照组(30例)。观察组患者行阴式子宫全切术,对照组患者行传统腹式全子宫切除术。将两组患者具体的手术情况以及术后的生活质量进行分析对比。结果观察组患者术中出血量、排便时间、肛门排气时间均优于对照组患者(P<0.05),观察组住院时间为(11.4±2.6)d,短于对照组的(15.5±5.6)d,差异有统计学意义(P<0.05);治疗后6个月观察组患者的心理领域、生理领域、环境领域以及社会关系领域的评分均明显高于对照组,差异有统计学意义(P<0.05)。结论复杂子宫肌瘤患者行阴式子宫全切术对术后的生活质量有很大影响,能够有效的促进患者尽快恢复,提高患者围手术期的效果,保障患者术后的生活质量,值得临床应用推广。
Objective To investigate the effect of vaginal hysterectomy on postoperative quality of life in patients with complicated uterine fibroids. Methods 80 patients with complicated uterine fibroids were randomly divided into observation group (50 cases) and control group (30 cases). Patients in the observation group underwent vaginal hysterectomy, and patients in the control group underwent traditional abdominal hysterectomy. The two groups of patients with specific surgical conditions and postoperative quality of life were analyzed and compared. Results The bleeding volume, defecation time and anal exhaust time in the observation group were all better than those in the control group (P <0.05). The length of stay in the observation group was (11.4 ± 2.6) d, shorter than that in the control group (15.5 ± 5.6) d, the difference was statistically significant (P <0.05); 6 months after treatment in the observation group patients in the psychological field, physical field, environmental field and social relations score were significantly higher than the control group, the difference was statistically significant (P <0.05). Conclusions Vaginal hysterectomy in patients with complicated uterine fibroids has a great impact on postoperative quality of life, which can effectively promote patients to recover as soon as possible, improve the perioperative effect and ensure the postoperative quality of life of patients, and is worth clinical Application promotion.