盆腔引流在非脱垂子宫阴式系列手术中的应用

Application of Pelvic Drainage after Transvaginal Hysterectomy for Non-prolapsed Uterus

目的探讨盆腔引流在非脱垂子宫阴式系列手术中的应用。方法将行阴式系列手术的292例患者按术后是否放置盆腔引流分为2组,观察组205例,术后放置盆腔引流;对照组87例,术后未放置盆腔引流。对2组的术后病率、盆腔感染、肛门排气时间、住院时间、阴道残端息肉发生情况进行比较。结果观察组的术后病率、盆腔感染率分别为12.2%、0.0%,对照组的术后病率、盆腔感染率分别为23.0%、2.3%,2组比较差异均有统计学意义(均P<0.05)。2组肛门排气时间、住院时间、术后3个月阴道残端息肉发生情况比较差异均无统计学意义(均P>0.05)。结论放置盆腔引流可以有效降低术后病率和盆腔感染,且不增加负面影响。

Objective To investigate the application of pelvic drainage after transvaginal hysterectomy for non-prolapsed uterus.Methods A total of 292 patients undergoing vaginal hysterectomy were divided into two groups.Pelvic drainage was performed in observation group（205 pateients） and no drainage was placed in control group（87 patients）.Postoperative morbidity,pelvic infection,anal exhaust time,hospital stay and incidence of vaginal stump polyps were compared between the two groups.Results Postoperative morbidity and pelvic infection rate in observation group were significantly lower than those in control group（12.2% vs 23.0% and 0.0% vs 2.3%,respectively;all P0.05）.There were no differences in anal exhaust time,hospital stay and incidence of vaginal stump polyps 3 months after hysterectomy between the two groups（all P0.05）.Conclusion Pelvic drainage can reduce postoperative morbidity and pelvic infection without adverse effects.