阴式全子宫切除术和腹式全子宫切除术的效果观察

Effect of vaginal total hysterectomy and abdominal total hysterectomy

目的探讨临床中阴式全子宫切除术及腹式全子宫切除术的应用效果。方法本次研究共选取120例妇科子宫良性病变患者参与,所有患者均于2017年2~11月入院接受治疗,其中70例患者采取经腹全子宫切除术治疗,设为腹式全宫组,50例患者采取阴式全子宫切除术治疗,设为阴式全宫组。对两组患者的手术指标以及术后并发症发生率进行比较。结果经过不同手术方式治疗后,数据提示两种手术方式的手术时间以及术中出血量差异无统计学意义(P> 0.05);相比腹式全宫组,阴式全宫组患者的住院时间、术后肛门排气时间更短,就医疗费用指标而言,腹式全宫组相比阴式全宫组更具优势,上述数据差异有统计学意义(P <0.05);在术后并发症方面,腹式全宫组与阴式全宫组相比发生率差异无统计学意义(P> 0.05)。结论本次研究中应用的两种手术方式均为妇科子宫良性病变患者常用术式,经过综合比较,每种术式都有各自的优势和缺点,因此在临床中应根据患者的具体情况进行选择,以此保证医疗的科学性,进而提升患者的临床疗效。

Objective To investigate the clinical effect of vaginal total hysterectomy and abdominal total hysterectomy. Methods A total of 120 patients with uterine benign gynecological diseases were enrolled in this study. All patients were admitted to the hospital from February 2017 to November 2017. Seventy patients were treated with abdominal total hysterectomy, set as abdominal whole palace group, fifty patients were treated with vaginal hysterectomy, set as vaginal whole palace group. The surgical indieators and the incidence of postoperative complications of two groups were compared. Results Afler the operation of different surgical methods, the data suggest that there was no significant differenee in operative time and intraoperative blood loss between the two surgieal methods（P 〉 0.05）. Compared with the abdominal whole palaee group, the hospitalization time, postoperative anus exhaust time of vaginal whole palaee group were shorter, the eost of medieal indieators of the abdominal whole palaee group has more advantages than the vaginal whole palace group, the above data was statistieally signifieant（P 〈 0.05）. After surgery, there was no signifieant differenee in the ineidenee of eomplieations between abdominal whole palaee group and vaginal whole palaee group（P 〉 0.05）. Conclusion The two surgieal proeedures used in this study are eommonly used in patients with benign uterine gyneeologieal diseases, after a eomprehensive eomparison, eaeh proeedure has its own advantages and disadvantages. Therefore, in the elinieal should be based on the speeifie eireumstanees of patients to ehoiee, in order to ensure the seientifie medieal treatment, and then enhanee the elinieal effieaey of patients.