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目的:研究分析改良筋膜内子宫切除术在困难妇科手术中的临床应用价值。方法:选取本院收治的进行改良筋膜内子宫切除术的较为困难的妇科手术患者30例作为研究对象,并且选取同期在院实施筋膜内子宫切除术患者30例进行比较,对比分析两组患者的临床疗效。结果:研究结果显示,两组患者的手术时间、术中出血量比较,差异不具有显著性差异,(P>0.05)不具有统计学意义。而患者的术后排气时间、阴道流血以及下床活动时间比较,实验组明显优于对照组,差异具有显著性,(P<0.05)具有统计学意义。实验组患者的并发症发生率为6.67%(2例),而对照组并发症发生率为10%(3例),t=1.674,P>0.05,不具有统计学意义。结论:研究表明,虽然改良筋膜内子宫切除术是应用于手术比较困难的妇科患者,但并没有增加手术时间及术中出血量,并且改良筋膜内子宫切除术还能缩短患者术后排气时间和下床活动时间,并且还能减少阴道流血。值得临床推广应用。
Objective: To study and analyze the clinical value of modified fascia hysterectomy in difficult gynecological surgery. Methods: Thirty patients with more difficult gynecological operations underwent modified fascia hysterectomy were enrolled in this study. Thirty patients who underwent intrafascial hysterectomy during the same period were selected for comparison. Two groups were compared The clinical efficacy of patients. Results: The results showed that there was no significant difference between the two groups in operation time and blood loss (P> 0.05), but there was no statistical significance. The postoperative exhaust time, vaginal bleeding and ambulation time, the experimental group was significantly better than the control group, the difference was significant (P <0.05) with statistical significance. The incidence of complications in the experimental group was 6.67% (2 cases), while the incidence of complications in the control group was 10% (3 cases), t = 1.674, P> 0.05, not statistically significant. CONCLUSIONS: Although studies have shown that although modified fasciotomy is a gynecological patient with more difficult surgical procedures, it does not increase the duration of surgery and the amount of bleeding during surgery, and the improved fasciotomy can shorten the postoperative hysterectomy Gas time and time to get out of bed, but also to reduce vaginal bleeding. Worthy of clinical application.