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目的目的探讨在行阴式子宫手术中对于预防有剖宫史的患者的泌尿系损伤的方法。方法选取90例在本院行阴式子宫手术的患者为本次研究的对象,选取时间为2004年1月~2014年12月,将患者以随机数字表法分为对照组和观察组,每组45例,对照组患者行阴式子宫手术,观察组在手术前进行充分水垫水压分离膀胱宫颈间隙,比较两组方法的手术情况。结果观察组患者手术所需时间(34.9±7.15)min、术中出血量(94.65±7.32)ml、住院天数(3.4±1.29)d均少于对照组手术所需时间(59.3±8.55)min、术中出血量(155.70±11.75)ml、住院天数(6.6±1.1)d,两组比较具有显著性差异(P<0.05)。结论在本研究中对行阴式子宫手术的患者在术前行充分水垫水压分离膀胱宫颈间隙可保护患者的泌尿系,防止出现损伤,临床价值较高。
Objective To explore the method of urinary tract injury in patients undergoing vaginal uterine surgery for preventing cesarean section. Methods Totally 90 patients undergoing vaginal hysterectomy in our hospital were selected as the subjects of this study. The patients were selected from January 2004 to December 2014 and divided into control group and observation group by random number table The patients in the control group underwent vaginal uterine surgery. The observation group was subjected to hydrostatic pressure separation of the vesical cervical space before surgery. The operation of the two groups was compared. Results The operation time (34.9 ± 7.15) min, blood loss (94.65 ± 7.32) ml and length of hospital stay (3.4 ± 1.29) days in the observation group were all less than those of the control group (59.3 ± 8.55) min, The blood loss in operation (155.70 ± 11.75) ml and hospital stay (6.6 ± 1.1) d were significantly different between the two groups (P <0.05). Conclusion In this study, patients undergoing vaginal uterine surgery in the preoperative full water cushion pressure separation of the bladder cervix space can protect the patient’s urinary tract, to prevent injury, a higher clinical value.