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本文对我院1992年1月-1994年8月因各种疾患采用不同方法行腹式全子宫切除术的280例进行分析,其中小切口“提出法”100例,半腹膜外80例,“传统式”100例。结果:手术时间(分),“提出法”81.65,半腹膜外129.12,“传统式”111.95;术中失血(ml),“提出法”183.8,半腹膜外240.63,传统式212.1;肛门排气时间(小时),“提出法”26.63,半腹膜外28.09,“传统式”38.99;术后病率,“提出法”13%,半腹膜外15%,“传统式”31%。均经统计学处理有显著性差异,且提出法腹壁切口小,操作简单,术后恢复快,作者认为提出法是目前较为理想的一种经腹切陈子宫术式。值得推广。
In this paper, our hospital from January 1992 to August 1994 due to various diseases using different methods of abdominal hysterectomy 280 cases were analyzed, including a small incision “proposed” 100 cases, 80 cases of extraperitoneal, “ Traditional ”100 cases. Results: The operation time (min), “proposed” 81.65, extraperitoneal 129.12, “traditional” 111.95; intraoperative blood loss (ml), “proposed” 183.8, extraperitoneal 240 .63, Conventional 212.1; Anal venting time (hours), “Proposed” 26.63, Extraperitoneal 28.09, “Traditional” 38.99; Postoperative morbidity, “Presentation” 13 %, Extraperitoneal 15%, “traditional” 31%. The results showed that there was a significant difference between the two groups in terms of statistical analysis. The proposed method for abdominal incision was simple, simple operation and rapid recovery after operation. The author thinks that the proposed method is an ideal method for transabdominal cesarean section. Worth promoting.