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目的研究三种全子宫切除术(TAH、TVH和LH)术中出血量和泌尿系感染的关系。方法回顾性郑州大学第二附属医院妇产科因子宫良性疾病行全子宫切除术的患者3300例,(TAH组962例,TVH组1035例,LH组1303例),比较三组术中出血量和泌尿系感染发生率。结果三组泌尿系感染发生率分别为TAH 4.37%,TVH3.57%,LH4.22%。三组间差别无统计学意义。三组发生泌尿系感染的出血量之间差异显著,TAH组明显高于TVH组和LH组。同一术式,发生泌尿系感染和无泌尿系感染的出血量无差异。结论全子宫切除术泌尿系感染的发生可能手术创伤、导尿管的保留时间、护理措施和抗生素的应用相关,而与术式无关和出血量无关。
Objective To study the relationship between the amount of bleeding and urinary tract infection in three kinds of hysterectomy (TAH, TVH and LH). Methods A retrospective study of 3,300 patients undergoing hysterectomy in the department of gynecology and obstetrics of the Second Affiliated Hospital of Zhengzhou University was performed. (TAH group, 962 cases, TVH group, 1035 cases and LH group, 1303 cases). The intraoperative blood loss And the incidence of urinary tract infection. Results The incidence of urinary tract infection in three groups were TAH 4.37%, TVH 3.57% and LH 4.22% respectively. No significant difference between the three groups. There was significant difference between the three groups in the amount of bleeding in urinary tract infection, TAH group was significantly higher than TVH group and LH group. The same procedure, the occurrence of urinary tract infection and no urinary tract infection no difference in the amount of bleeding. Conclusion The hysterectomy urinary tract infection may be related to surgical trauma, catheter retention time, nursing measures and the application of antibiotics, but has nothing to do with the surgical procedure and the amount of bleeding.