摘要
目的研究腹式子宫切除术中阴道残端两种缝合方法的临床效果。方法观察组98例采用双7线处理阴道残端两侧角血管区,对照组76例常规缝合阴道残端,分别观察手术时间、术中出血量、术后病率、术后阴道出血率、术后住院日及术后3个月内随访情况。结果手术时间、术中出血量对比差异无显著性(P>0.05),术后病率、术后阴道出血率、术后住院日和术后3个月随访并发症对比差异有显著性(P<0.01)。结论腹式子宫切除术中采用双7线处理阴道残端两侧角血管区的方式是一种较好的处理方法,值得临床推广应用。
Objective To investigate the clinical effects of two vaginal stump suture methods in abdominal hysterectomy. Methods The double No.7 thread was used to deal with both sides of the angle vascular area of the vaginal stump in 98 cases of the observation group and the conventional suture was used for 76 cases of the control group. We observed the operation time, bleeding volume, postoperative morbidity, the rate of vagina postoperative bleeding, postoperative hospital stay and postoperative follow-up within 3 months. Results There was no significant difference in the operation time and bleeding volume between the two groups（P〉 0.05 ）, while there was a significant difference in the postoperative morbidity ,postoperative vaginal bleeding rate, postoperative hospital stay and postoperative complications within 3 months（P 〈 0.01 ）. Conclusion Abdominal hysterectomy performed by means of double No.7 thread to deal with both sides of angle vascular area of the vaginal stump is a preferable approach, worthy of clinical application.
出处
《中国现代医生》
2009年第29期28-29,共2页
China Modern Doctor
关键词
子宫切除术
阴道残端缝合
术后并发症
Hysterectomy
Vaginal stump suture
Postoperative complications
