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目的分析改良阴式子宫切除术和腹式子宫切除术的术后恢复情况及炎症反应差异。方法 82例接受切除子宫手术治疗的患者,按照随机数表法分为观察组和对照组,每组41例。观察组接受改良阴式子宫切除术,对照组接受腹式子宫切除术。比较两组患者的术后恢复情况及炎症反应差异。结果 1术后恢复情况:观察组患者接受改良阴式子宫切除术后的肛门排气时间、留置导尿时间、下床活动时间及总住院时间均明显短于对照组患者(P<0.05);2炎症反应:观察组患者接受改良阴式子宫切除术后的血清C反应蛋白(CRP)、白介素-6(IL-6)及肿瘤坏死因子-α(TNF-α)水平均明显低于对照组(P<0.05)。结论改良阴式子宫切除术有助于促进患者的术后早期恢复,降低全身炎症反应。
Objective To analyze the postoperative recovery and the difference of inflammatory response between modified vaginal hysterectomy and abdominal hysterectomy. Methods A total of 82 patients undergoing hysterectomy were divided into observation group and control group according to the random number table method, with 41 cases in each group. The observation group received modified vaginal hysterectomy, while the control group received abdominal hysterectomy. The postoperative recovery and the difference of inflammatory reaction between the two groups were compared. Results 1 Postoperative recovery: The anal exhaust time, indwelling catheterization time, ambulation time and total length of hospital stay in the observation group were significantly shorter than those in the control group (P <0.05). 2 Inflammatory reaction: The levels of serum C-reactive protein (CRP), interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) in observation group were significantly lower than those in control group after receiving modified vaginal hysterectomy (P <0.05). Conclusion The modified vaginal hysterectomy helps to promote early postoperative recovery and reduce the systemic inflammatory response.