论文部分内容阅读
目的比较阴式手术与腹式手术在子宫手术中的临床应用价值。方法选择2009年8月-2012年3月收治的行子宫切除术患者共56例,根据患者治疗方案分为观察组32例和对照组24例,观察组采用阴式手术,对照组采用腹式手术,合并内科疾病患者需根据情况进行针对性治疗,以减少手术中不必要风险及其他并发症。比较两组术中出血量、手术时间、伤口愈合时间、肛门排气时间、下床活动时间、住院时间及并发症发生情况。计数资料采用χ2检验,P<0.05为差异有统计学意义。结果术中出血量观察组(20.4±32.6)ml、对照组(62.1±15.2)ml,手术时间观察组(35.2±11.5)min、对照组(62.1±23.5)min,伤口愈合时间观察组(9.0±2.7)d、对照组(21.0±8.0)d,肛门排气时间观察组(18.5±3.5)h、对照组(27.6±11.0)h,下床活动时间观察组(10.8±2.5)d、对照组(25.1±9.0)d,住院时间观察组(5.2±1.1)d、对照组(11.5±2.4)d,两组比较差异均有统计学意义(t=6.383、5.648、7.925、4.403、8.581、7.433,均P<0.05)。并发症发生率观察组为6.25%,对照组为45.83%,两组比较差异有统计学意义(χ2=12.055,P<0.05)。结论阴式手术对患者机体损伤小,恢复快且并发症较少、安全性较高,应在临床推广应用。
Objective To compare the clinical value of vaginal surgery and abdominal surgery in uterine surgery. Methods A total of 56 cases underwent hysterectomy from August 2009 to March 2012 were divided into observation group (32 cases) and control group (24 cases). The observation group received vaginal surgery while the control group received abdominal surgery Surgery, patients with medical problems need to be targeted according to the situation of treatment, in order to reduce the risk of unnecessary surgery and other complications. Blood loss, operation time, wound healing time, anal exhaust time, ambulation time, hospital stay and complication were compared between the two groups. Count data using χ2 test, P <0.05 for the difference was statistically significant. Results The intraoperative bleeding volume in the observation group (20.4 ± 32.6) ml, control group (62.1 ± 15.2) ml, operation time observation group (35.2 ± 11.5) min, control group (62.1 ± 23.5) ± 2.7) d, control group (21.0 ± 8.0) d, anal exhaust time observation group (18.5 ± 3.5) h, control group (27.6 ± 11.0) h and ambulation time observation group (25.1 ± 9.0) d, hospitalization time (5.2 ± 1.1) d and control group (11.5 ± 2.4) d respectively. The differences between the two groups were statistically significant (t = 6.383,5.648,7.925,4.403,8.581, 7.433, all P <0.05). Complication rate was 6.25% in the observation group and 45.83% in the control group. There was significant difference between the two groups (χ2 = 12.055, P <0.05). Conclusion Negative surgery has the advantages of less damage to the patient’s body, quicker recovery, fewer complications and higher safety, which should be popularized and applied clinically.