摘要
目的:分析3 974例全子宫或次广泛/广泛性全子宫切除术住院病例,探讨我院全子宫或次广泛/广泛性全子宫切除术患者妇科疾病构成情况及相关特点。方法:对2007-2011年在我科行全子宫或次广泛/广泛性全子宫切除术的3 974例住院病例进行回顾性统计分析,包括病种构成、平均年龄、疾病转归、伤口愈合、平均住院日、住院天数及平均住院费用等情况。结果:妇科住院病人总人数和手术例次呈逐年增加趋势,而全子宫或次广泛/广泛全子宫切除术比例有不同程度下降。3 974例手术病人平均年龄(47.96±9.65)岁,平均住院天数(12.77±7.55)d,平均住院费用(14 303.70±7 939.39)元,其中治愈率80.9%,好转率17.8%,甲级伤口愈合96.4%,乙级伤口愈合1.9%。前5位疾病依次为子宫肌瘤(31.38%),子宫恶性肿瘤(15.02%),子宫腺肌症(11.55%)、卵巢良性肿瘤(8.28%)、卵巢恶性肿瘤(7.02%)。结论:妇科疾病诊疗理念及技术不断改进,全子宫或次广泛/广泛性全子宫切除术比例逐年下降,而微创及无创治疗技术比例逐年增加。
Objective：To explore the disease constitution and some related characteristics of gynecological diseases by analyzing 3 974 hospitalized cases of hysterectomy and extended or radical hysterectomy. Methods：A retrospective analysis including disease constitution, average age, disease prognosis,wound healing, average length of stay and average cost,was done on 3 974 hospitalized cases of hysterectomy and extended or radical hysterectomy in the First Affiliated Hospital of Chongqing Medical University from 2007 to 2011. Results：Number of hospitalized cases and surgical operations in the department of gynecology in the hospital was increased year by year, but percentage of hysterectomy and extended or radical hysterectomy was declined to some different degrees. Among the 3 974 patients, average age was （47.96 ± 9.65） years old, average length of stay was （12.77 ± 7.55） d and average hospitalization cost was （14 303.70 ± 7 939.39）. Cure rate was 80.9%,improvement rate was 17.8%,wound healing rate （A level） was 96.4% and wound healing rate （B level） was 1.9%. The top five diseases were uterus myoma（31.38%）,uterine malignant tumors （15.02%）,uterine gland muscle sickness（11.55%）,benign ovarian tumors（8.28%） and ovarian malignant tumor（7.02%）. Conclusions：Due to the improvement in diagnosis and treatment the concept and technology for gynecological disease,percentage of hysterectomy and extended or radical hysterectomy is decreased year by year, however, percentage of minimally invasive and noninvasive treatment is increased year by year.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2014年第3期418-420,共3页
Journal of Chongqing Medical University
