论文部分内容阅读
目的对比阴式子宫切除术与开腹子宫切除术的临床治疗效果。方法回顾性分析该院妇产科2012年1—12月收治的32例开腹子宫切除术患者以及2013年1—12月收治的32例阴式子宫切除术患者的临床资料。对比二组患者的术中出血量、手术时间、术后发热率、术后镇痛以及住院时间等数据。结果开腹子宫切除术患者的术中出血量要明显低于阴式子宫切除术,差异有统计学意义(P<0.01);开腹子宫切除术患者的手术时间要明显短于阴式子宫切除术,差异有统计学意义(P<0.01)。阴式子宫切除术的32例患者术后发热率为3.13%;开腹切除术的32例患者术后发热率为28.13%;二者相比较差异有统计学意义(χ2=7.59,P<0.01)。阴式子宫切除术的32例患者平均住院时间为(5.39±2.49)d,开腹子宫切除术的32例患者平均住院时间为(8.98±3.31)d,二组比较差异有统计学意义(t=4.90,P<0.01)。开腹子宫切除术的32例患者术后镇痛率为87.50%;阴式子宫切除术的32例患者术后镇痛率为34.38%;二者比较差异有统计学意义(χ2=18.97,P<0.01)。结论阴式子宫切除术具有术后发热率低、住院时间少等优点,在筛选病历时需小心仔细,严格把握手术适应证。
Objective To compare the clinical effects of vaginal hysterectomy and open hysterectomy. Methods The clinical data of 32 patients undergoing open hysterectomy from January to December 2012 in our hospital and 32 patients undergoing vaginal hysterectomy from January 2013 to December 2013 were retrospectively analyzed. The data of intraoperative blood loss, operation time, postoperative fever, postoperative analgesia and hospital stay were compared between the two groups. Results The amount of intraoperative blood loss in patients undergoing open hysterectomy was significantly lower than that of vaginal hysterectomy (P <0.01). The operative time of patients undergoing open hysterectomy was significantly shorter than that of vaginal hysterectomy Surgery, the difference was statistically significant (P <0.01). 32 cases of vaginal hysterectomy fever rate was 3.13%; 32 cases of open resection of postoperative fever rate was 28.13%; the difference between the two was statistically significant (χ2 = 7.59, P <0.01 ). The average length of stay of 32 patients who underwent vaginal hysterectomy was (5.39 ± 2.49) d. The mean length of stay of 32 patients undergoing open hysterectomy was (8.98 ± 3.31) d, the difference between the two groups was statistically significant (t = 4.90, P <0.01). 32 cases of open hysterectomy postoperative analgesia rate was 87.50%; vaginal hysterectomy in 32 patients postoperative analgesia rate was 34.38%; the difference between the two was statistically significant (χ2 = 18.97, P <0.01). Conclusions Vaginal hysterectomy has the advantages of low postoperative fever rate and less hospitalization time. Careful careful screening of medical records should be adopted to strictly grasp the indications of operation.