论文部分内容阅读
目的通过分析保留附件的全子宫切除术后输卵管脱垂(FTP)的相关病例,探究诊治全子宫切除术后输卵管脱垂的方法及其相关因素。方法 137例行保留附件的全子宫切除术患者,按照随机原则分为观察组(69例)和对照1组(39例)、对照2组(29例)。观察组进行经腹子宫切除术,对照1组进行经阴道子宫切除术,对照2组实施腹腔镜辅助下经阴道子宫切除术。观察三组的临床疗效。结果术后腹膜的不同缝合方式和输卵管脱垂有关,差异具有统计学意义(P<0.05)。子宫切除的手术方式和是否放置阴道引流管和输卵管脱垂没有相关性(P>0.05)。结论全子宫切除术后腹膜的缝合方式和输卵管脱垂息息相关,而且不完全腹膜化容易引发输卵管脱垂。
Objective To analyze the methods and related factors of tubal prolapse after total hysterectomy by analyzing the related cases of tubal prolapse (FTP) after total hysterectomy. Methods A total of 137 patients undergoing total hysterectomy with attachment were divided into observation group (69 cases) and control group (39 cases) and control group (29 cases) according to the randomized principle. The observation group was transabdominal hysterectomy, control group 1 transvaginal hysterectomy, control group 2 laparoscopic assisted transvaginal hysterectomy. To observe the clinical efficacy of three groups. Results Postoperative peritoneal suture different ways and tubal prolapse, the difference was statistically significant (P <0.05). There was no correlation between hysterectomy and vaginal drainage and tubal prolapse (P> 0.05). Conclusion The hysterectomy after peritoneal suture and tubal prolapse are closely related, and incomplete peritoneal easily lead to tubal prolapse.