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目的:探讨在全子宫切除术中选择较理想的缝合阴道断端的方法。方法:对100例患者侧对侧阴道断端缝合组(观察组)及104例连续前后阴道断端缝合组(对照组)进行比较,分别观察手术时间、术中出血、术后病率、平均住院日、并随访阴道深度、断端出血发生率、断端息肉发生率及性生活满意度、阴道顶脱垂发生率等。结果:观察组较对照组手术时间、术中出血、术后病率、平均住院日差异无统计学意义,而阴道断端出血及阴道断端息肉发生率明显降低,阴道深度、性生活满意度及顶端脱垂发生率差异有统计学意义(P<0.05)。结论:相对于阴道断端前后缝合法,侧对侧缝合法能明显减少子宫全切除术后并发症的发生率,尤其适用于合并轻度子宫脱垂或阴道前后壁脱垂的患者,值得临床通过推广应用。
Objective: To explore the method of selecting the ideal suture of the vagina in hysterectomy. Methods: The contralateral vaginal suture group (observation group) and 104 cases of continuous vaginal suture group (control group) of 100 patients were compared, the operation time, intraoperative bleeding, postoperative morbidity, average Hospitalization, and follow-up of the vagina depth, the incidence of bleeding at the stump, the incidence of polyps and sex life, the incidence of vaginal prolapse. Results: There was no significant difference between the observation group and the control group in the operation time, intraoperative bleeding, postoperative morbidity and average length of stay, while the incidence of vaginal bleeding and vaginal polyps in the observation group was significantly lower. The depth of the vagina, sex life satisfaction And the incidence of apical prolapse difference was statistically significant (P <0.05). Conclusion: Compared with anterior and posterior suture of the vaginal canal, lateral-to-lateral suture method can significantly reduce the incidence of postoperative hysterectomy complications, especially for patients with mild uterine prolapse or anterior vaginal wall prolapse, worth clinical Through the promotion of application.