摘要
目的探讨阴式和腹式扩大性子宫切除术的临床效果。方法随机选择60例扩大性子宫切除术患者的临床资料分析,其中腹式扩大性子宫切除术30例,阴式扩大性子宫切除术30例,比较各组患者术中及术后的情况。结果阴式组的术中平均出血量、术后平均住院时间、术后下床活动时间、肛门排气时间均少于腹式组,P值均<0.05,均有显著性差异,阴式组的平均手术时间与腹式组相比无显著性差异(P>0.50)。腹式组术后2天体温达38℃以上者4例,而阴式组无1例出现,但无显著性差异(P>0.05)。结论阴式扩大性子宫切除与腹式比较,具有出血量少,术后胃肠功能恢复早,术后体温升高的发生率低,住院日短,腹壁不留切口瘢痕,达到了损伤小,恢复快,是1种较好的手术方法。
Objective To investigate the clinical effects of transvaginal and transabdominal extended hysterectomy. Methods The clinical data of 60 patients treated with extended hysterectomy were randomly chosen to evaluate the clinical effects. Of the 60 patients,30 cases were treated with transabdominal extended hysterectomy and 30 cases were treated with transvaginal extended hysterectomy. Clinical effects of the two groups were compared during or after operation. Results Compared with the transabdominal group, the transvaginal group had a significantly reduction in the volume of blood loss （P 〈0. 05 ）, hospitalization time （ P 〈 0. 05 ）, interval time to move about （ P 〈 0. 05 ）, and to anus exhaustion （ P 〈 0. 01 ）. There was no significant difference in the operation time of the two groups （ P 〉0. 05 ）. Postoperative body temperature of 38℃ or higher was noted in 4 of the transabdominal group, and 0 in the transvaginal group, but the difference was not statistically significant（ P 〉 0. 05 ）. Conclusion Compared to the transabdominal extended hysterectomy, transvaginal extended hysterectomy has less blood loss, earlier functional recovery of gastrointenstinal duct, lower fever rate after operation, shorter hospitalization time and no cicatricle in the abdominal wall. Transvaginal extended hysterectomy is a good operative method.
出处
《实用癌症杂志》
2007年第6期612-613,622,共3页
The Practical Journal of Cancer
