阴式手术在高原贫困地区治疗妇科多发疾病的临床研究

The Clinical Study of Gynecologic Multi-incidental Disease Treated by Serial Transvaginal Surgery in Plateau Poverty Areas

目的:探讨系列阴式手术在高原贫困地区妇科多发疾病治疗中的临床应用价值。方法:以青海大学附属医院2004年2月至2006年6月间收治的符合各种阴式手术适应证的妇科多发疾病患者200例为研究对象(研究组),随机抽取2002年1月至2003年12月接受传统开腹手术150例(开腹组)及同期接受腹腔镜手术150例(腹腔镜组)进行比较。结果:研究组在手术时间、术后肛门排气时间、术后体温恢复正常所需时间、平均术中出血量、手术后疼痛情况、住院天数、单病种住院费、术后病率与开腹组比较差异有统计学意义(P<0.05),而手术时间、术后肛门排气时间、单病种住院费与腹腔镜组比较差异也有统计学意义(P<0.05)。结论:在严格掌握手术适应证的前提下,系列阴式手术具可行性和安全性,且有微创、费用低的优点,值得在高原贫困地区应用。

Objective：To investigate the clinical application of serial transvaginal surgery in the treatment of multi- incidental disease in plateau poverty areas. Methods：200 patients hospitalized in our hospital from Feb. 2004 to Jun. 2006 with multi-incidental disease and indication of transvaginal surgery were adapted as study group, 150 patients from Jan.2002 to Dec.2002 received traditional laparotomy were randomly collected as laparotorny group, the other 150 patients received laparoscopy were collected as laparoscopy group. Results：Compared to laparotomy group, the operation time, anusexhaust time after surgery, the time of recovering to normal temperature after surgery, the average volume of hemorrhage in surgery, postoperative pain, hospitalization days, monopathy cost of hospitalization in study group were significant difference（ P 〈0.05）. There was statistic difference between study group and laparoscopy group in operation time, anus exhaust time after operation and monopathy cost of hospitalization.Conclusions：On the premise of strictly mastering the surgery indication, the serial transvaginal surgery is feasible and secure. It is worthy of promoting in plateau poverty area, because of minimally invasion and low cost.