改良式筋膜内子宫全切术的临床观察

Clinical Observation of Modified Fascia in the Womb Cut Method

目的探讨改良式筋膜内子宫全切术的临床疗效观察。方法选择2009年6月至2011年8月在我院采用改良式筋膜内子宫全切术进行治疗的51例患者进行研究,年龄分布为(43.9±8.4)岁,选择同期在我院采用传统的经腹全切术进行治疗的患者51例作为对照组,年龄分布为(45.7±6.4)岁。两组患者在年龄、子宫大小和疾病类型比较均不存在统计学意义(P>0.05)。所有患者均签署知情同意书,愿意参加本研究。选择SPSS13.0统计软件进行统计描述与分析。结果观察组和对照组手术过程中比较分析显示手术时间、手术出血量和住院时间均存在统计学意义(P<0.05),术后观察组和对照组在术后切口疼痛情况、排气时间和不适情况发生情况比较均存在统计学意义(P<0.05),观察组阴道残端息肉和阴道出血情况与对照组比较均存在统计学意义(P<0.05)。结论采用改良式筋膜内子宫全切术进行妇科治疗临床疗效较好,应加强临床推广。

Objective To explore the modified intra-fascial uterus cut method all the clinical curative effect of observation.Methods Selection in June 2009 to August 2011 in our hospital using modified fascia in the womb cut method for treatment of 51 patients of research,the choice in our hospital from the traditional total abdominal cut method for treatment in 51 patients as control group,is both prognosis.Results The observation group and control group in the process of operation is analysis showed that the timing of the operation,the length of time the amount of blood loss surgery and there are statistically significant（P〈0.05）,postoperative observation group and control group in postoperative incision pain situation,exhaust time and discomfort happened is there are statistically significant（P〈0.05）.Conclusion The modified intra-fascial uterus cut method for the treatment of gynecology clinical curative effect is good,should strengthen clinical promotion.