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目的:探讨经阴道和经腹部全子宫切除术在临床效果、并发症和疼痛评分上的差异性。方法:随机选取2010年12月-2012年11月在该院治疗全子宫切除术230例临床病例作为调查对象,分成两组,观察组予以经阴道切除子宫(TVH)治疗,对照组予以经腹部切除子宫(TAH)治疗,比较两组不同治疗后的效果情况。结果:在术中出血量和住院费用,残端出血和围绝经期症状上两组差异无统计学意义(P>0.05);但是从手术时间、下床时间、肛门排气时间、住院时间、输血量、Hb差值以及体温变化情况看,从近期的尿路感染、深静脉血栓形成,远期的性功能下降、残留卵巢综合征、心血管疾患看,两组比较差异有统计学意义(P<0.05)。另外,术后当日的疼痛评分差异无统计学意义(P>0.05),但是术后第1天和第2天比较,两组比较差异有统计学意义(P<0.05)。结论:经阴道全子宫切除术临床效果满意,术后疼痛恢复快,并发症低,是治疗子宫疾病的首选治疗方法。
Objective: To investigate the differences of clinical effects, complications and pain scores between transvaginal and transabdominal total hysterectomy. Methods: A total of 230 clinical cases of hysterectomy in our hospital from December 2010 to November 2012 were randomly selected as the investigation group, divided into two groups, the observation group was treated by transvaginal hysterectomy (TVH), the control group was transabdominal Hysterectomy (TAH) treatment, the effect of the two groups after treatment was compared. Results: There was no significant difference in bleeding volume, hospitalization costs, stump bleeding and perimenopausal symptoms between the two groups (P> 0.05). However, there was no significant difference between the two groups in terms of bleeding volume, hospitalization time, bedtime, Blood transfusion, Hb difference and changes in body temperature, from the recent urinary tract infection, deep vein thrombosis, long-term decline in sexual function, residual ovarian syndrome, cardiovascular disease, the two groups was statistically significant difference ( P <0.05). In addition, there was no significant difference in pain scores on the day after surgery (P> 0.05), but there was significant difference between the two groups on the first day and the second day after operation (P <0.05). Conclusion: Transvaginal hysterectomy has satisfactory clinical effect, quick recovery of postoperative pain and low complication, which is the first choice for the treatment of uterine diseases.