维族妇女子宫脱垂的临床特点及手术难点

THE STUDY ON THE CLINICAL CHARACTERISTICS OF THE WEIWUER WOMEN WITH UTERINE PROLAPSE AND THE DIFFICULTY OF THE OPERATION

目的探讨老年维吾尔族(以下简称维族)妇女子宫脱垂的临床特点及进行阴式子宫切除术的难点。方法对67例患有子宫脱垂行阴式子宫切除术的老年妇女按维、汉两族分组,回顾性分析比较两组在发病年龄、子宫脱垂程度、宫颈糜烂程度等临床特点上的差异及在手术时间、手术方式、术后恢复情况等方面的差异程度。结果维族组患者发病年龄明显比汉族组小,有显著性差异(P<0.01);维族组患者子宫脱垂程度、宫颈糜烂程度明显比汉族组患者严重,有极显著性差异(P<0.01);维族组患者手术时间明显比汉族组长,有显著性差异(P<0.05);维族组患者改变常规手术方式的例数极明显地比汉族组多,有极显著性差异(P<0.01);维族组患者手术中出血量和汉族组有极明显差异(P<0.01),维族组患者手术后下床活动明显比汉族组早,有极显著性差异(P<0.01);维族组术后发生并发症的例数明显少于汉族组,有显著性差异(P<0.05)。结论维族老年妇女子宫脱垂的患者具有发病年龄小、脱垂程度、宫颈糜烂程度严重等特点,对维族妇女进行阴式子宫切除术时需做好手术时间长、手术难度大、可能需改变常规手术方式的准备,维族妇女术后恢复快、并发症少。

Objective To study the clinical characteristics of the old Weiwuer women with the disease of uterine prolapse and the difficulty of the transvaginal hysterectomy. Methods 67 cases of uterine prolapse by transvaginal hysterectomy were divided into two groups:Weiwuer nationality group(n=32) and Han nationality group(n=35).The differences of the clinical characteristics between two groups were compared in this retrospective study by the age of disease occurrance, the degree of uterine prolapse and cervix erosion,the time and mode of the operation,and the postoperative condition. Results The disease occurrance age in Weiwuer nationality group was significantly younger than that in Han nationality group(P< 0.01).The degree of uterine prolapse and cervix erosion in Weiwuer nationality group was patently severer than that in Han nationality group(P< 0.01). The time of operation in Weiwuer nationality group was significantly longer than that in Han nationality group(P< 0.05).The cases which had been changed the routine method of operation in Weiwuer nationality group were much significantly than those in Han nationality group(P< 0.01).The bleeding during the operation in Weiwuer nationality group was patently higher than that in Han nationality group(P< 0.01).There was no significant difference between two groups in the bleeding during the operation(P >0.05).The get-up time in Weiwuer nationality group was patently earlier than that in Han nationality group(P< 0.01).The complication after operation in Weiwuer nationality group were less than that in Han nationality group(P< 0.05). Conclusions Because the patients of old Weiwuer women with uterine prolapse have the clinical characteristic of younger age of disease occurrance severer degree of uterine prolapse and cervix erosion. Therefore we must be ready for longer operation time and more difficult operation and the change of routine method for operation when we carry out vaginal hysterectomy in Weiwuer nationality.The patients of Weiwuer nationality recover rapidly and have less complications.