不同手术方式对子宫肌瘤患者术后感染与宫颈局部微循环的影响

Influence of different operation methods on the postoperative infections and local cervical microcirculation of patients with hysteromyoma

目的观察与比较不同手术方式对子宫肌瘤患者术后感染与宫颈局部微循环的影响程度,为临床治疗提供参考依据。方法选取2015年6月-2016年7月医院收治的99例子宫肌瘤患者为研究对象,将其随机分为A组(开腹肌瘤剔除术组)33例、B组(阴式肌瘤剔除术组)33例和C组(腹腔镜肌瘤剔除术组)33例,将3组患者的术后感染率、围术期宫颈局部微循环状态指标进行检测与比较。结果 A组的术后感染率为15.15%,高于B组的3.03%及C组的0.00%,C组术后的宫颈局部微循环指标均好于A组及B组,B组则好于A组,3组间比较差异有统计学意义(P<0.05)。结论阴式肌瘤剔除术及腹腔镜肌瘤剔除术的术后感染控制效果较好,而腹腔镜肌瘤剔除术患者的宫颈局部微循环状态相对更好,因此其临床应用价值相对更高。

OBJECTIVE To observe and compare the influencing degree of different operation methods on the postoperative infections and local cervical microcirculation of patients with hysteromyoma,so as to provide references for clinical treatment.METHODS A total of 99 patients with hysteromyoma in our hospital from Jun.2015 to Jul.2016 were selected as the research objects,and they were randomly divided into group A（open myomectomy group,33 cases）,group B（vaginal myomectomy group,33 cases）and group C（laparoscopic myomectomy group,33 cases）.Then the postoperative infection rates and local cervical microcirculation indexes during the perioperative period of three groups were respectively detected and compared.RESULTS The postoperative infection rate of group A was 15.15% ,which was higher than 3.03% of group B and 0.00% of group C,the postoperative local cervical microcirculation indexes of group C were all better than those of group A and group B,the results of group B were all better than those of group A,and the differences of three groups were all significant（P〈0.05）.CONCLUSIONThe control effect of vaginal myomectomy and laparoscopic myomectomy on the postoperative infection is good,and the local cervical microcirculation state of patients with laparoscopic myomectomy is relatively better,so its clinical application value is relatively higher.