经腹与经阴道两种方式子宫切除临床效果观察

Clinical Effect Observation of Two Kinds of Method of Wombs and Through Vagina Through Stomach with Cut Off

目的探讨和比较经阴道子宫切除术与经腹部子宫切除术两种手术方法的临床效果和应用价值。方法回顾性分析80例行子宫切除手术的患者的一般资料,按照随机、对照的原则分为观察组和对照组,各为40例。观察组患者采用经阴道行子宫切除,对照组患者采用经腹式行子宫切除,观察和比较两组手术时间、术中出血、肛门排气时间、住院时间等情况。结果观察组手术时间、术中出血、肛门排气时间、住院时间明显优于对照组,两组比较,差异具有统计学意义（P〈0.05）。结论临床采用经阴道行子宫切除术效果显著,能够明显改善患者的病情和预后,缩短手术和住院时间,降低手术风险,值得临床进一步推广应用。

Objective Inquire into and compare through vagina hysterectomy with through the clinical effect and application value of belly hysterectomy two kinds of surgical operation methods. Methods Look back sex to analyze the sufferer＇s general data that 80 routine wombs cut off surgical operation, according to random, the principle for checking against is divided into observation set and matched control, are 40 perspectively. Observation set sufferer＇s adopting is gone womb excision by vagina, matched control sufferer＇s adopting is gone womb excision by stomach type, observation and comparison two sets of surgical operation time, bleed in the Shu, ass exhaust circumstances, such as time and hospitalized time...etc. Results Observation set surgical operation time, bleed in the Shu, ass exhaust time and hospitalized time obviously surpass a matched control, two sets of comparison, the difference has statistics to learn meaning （P〈0.05）. Conclusions The clinical adoption is gone hysterectomy effect to show Zhao by vagina, after canning obviously improve the sufferer＇s condition and prepare, shorten surgical operation and hospitalization for time, lower surgical operation risk, worth clinical expand an application further.