阴式子宫切除术在妇产科中的临床效果

Clinical effect of vaginal hysterectomy in the department of gynecology and obstetrics

目的分析妇产科实施阴式子宫切除术的临床效果。方法 60例行子宫切除患者,采用随机抽样法分为对照组和研究组,每组30例。对照组患者采用开腹子宫切除术,研究组患者采用阴式子宫切除术。比较两组患者的手术时间、术中出血量、术后排气时间、住院时间、术后镇痛药使用情况及术后并发症发生情况。结果两组患者手术时间比较差异无统计学意义(P>0.05);研究组患者术中出血量、住院时间、术后排气时间均少于对照组,差异具有统计学意义(P<0.05);研究组患者术后镇痛药物使用率为6.7%,与对照组的93.3%比较,差异具有统计学意义(P<0.05);研究组患者术后并发症发生率为6.7%,低于对照组的26.7%,差异具有统计学意义(P<0.05)。两组术后性生活均满意。结论临床给予妇产科患者阴式子宫切除术效果突出,出血少,住院时间短,且恢复快,并发症少,术后镇痛药物使用率低,值得临床推广。

Objective To analyze the clinical effect of vaginal hysterectomy in the department of gynecology and obstetrics. Methods A total of 60 patients with hysterectomy were divided into control group and research group by random sampling method, 30 cases in each group. Patients in the control group received abdominal hysterectomy, patients in the research group received vaginal hysterectomy. The operative time, intraoperative blood loss, postoperative exhaust time, length of stay, postoperative use of analgesics and occurrence of postoperative complications between the two groups were compared. Results There was no significant difference in the operative time between the two groups（P0.05）. The intraoperative blood loss of the research group was significantly less than that of the control group, the length of stay and postoperative exhaust time in the research group were significantly shorter than those in the control group, the differences were statistically significant（P0.05）. The postoperative use rate of analgesics in the research group was 6.7%, which was significantly lower than 93.3% in the control group, the difference was statistically significant（P0.05）. The incidence of postoperative complications in the research group was 6.7%, which was significantly lower than 26.7% in the control group, the difference was statistically significant（P0.05）. The two groups were satisfied with postoperative sexual life. Conclusion The effect of vaginal hysterectomy for the clinical treatment of patients in the department of gynecology and obstetrics is prominent, with less hemorrhage, shorter length of stay, faster recovery, fewer complications, lower postoperative analgesic drug use rate, is worthy of clinical promotion.