改良阴式子宫切除术的临床疗效及其对患者血糖和皮质醇水平的影响

Clinical efficacy of improved vaginal hysterectomy and its influences on blood glucose and serum corticosteroid

目的比较改良阴式子宫切除术与传统阴式子宫切除术的I临床疗效及其对患者血糖和皮质醇水平的影响。方法100例子宫切除患者按随机数字表法分为行改良阴式子宫切除术的治疗组和行传统阴式子宫切除术的对照组，每组50例。比较两组临床疗效、血糖及皮质醇水平。结果两组手术时间比较差异无统计学意义（P〉0．05）。治疗组术中出血量、术后排气时间、术后阴道流血时间分别为（86．7±5．7）ml、（24．8±12．9）h、（16．5±2．9）d，均明显少于对照组的（131．2±14．5）ml、（42．8．±17．7）h、（24．3±6．7）d，差异有统计学意义（P〈0．01或〈0．05）。治疗组术后血糖和皮质醇水平恢复正常时间明显早于对照组。结论改良阴式子宫切除术治疗效果确切，术后应激反应较轻。

Objective To compare clinical efficacy between improved vaginal hysterectomy （IVH） and traditional vaginal hysterectomy （TVH） and its influences on blood glucose and serum corticosteroid levels. Methods One hundred patients undergoing hysterectomy were divided into using IVH （treatment group,50 patients） and TVH （control group,50 patients）. Clinical efficacy,blood glucose and serum corticosteroid levels were compared between two groups. Results There was no significant difference in operation time between two groups （P 〉 0.05）. The amount of intraoperative bleeding, postoperative exhaust time and postoperative vaginal bleeding time in treatment group were significantly less than those in control group [（86.7±5.7） mlvs. （131.2±14.5） m1,（24.8±12.9） hvs. （42.8±17.7） h,（16.5±2.9） dvs. （24.3 ± 6.7） d,P 〈 0.05 ], and the time of blood glucose and serum corticosteroid levels returned to normal levels in treatment group were much earlier than those in control group. Conclusion The clinical efficacy of IVH is Dreonunced, and oostoDerative stress reaction is mild.