经阴道手术切除非脱垂子宫的临床研究

Clinical Study on Transvaginal Surgery in Resection of Non-prolapsed Uterus

目的对经阴道手术切除非脱垂子宫的临床治疗效果进行研究。方法抽取2014年6月—2017年6月之间84例该院非脱垂子宫疾病行手术患者,以随机分配的方式将84例患者分为实验组和对照组各42例,并且分别采用经阴道手术和经腹全切手术进行治疗,对临床治疗效果进行观察及对比。结果实验组手术时间、术中出血、术后肛门排气时间、术后住院时间分别为(65±25.0)min、(91±62.0)m L、(16±4.0)h、(4.2±2.1)d,均少于对照组(78±21.0)min、(164±65.0)m L、(33±2.0)h、(7.4±3.1)d,实验组术后发病率、镇痛率分别为7.14%、11.90%低于对照组26.19%、40.47%,组间对比差异有统计学意义(P<0.05)。结论经阴道手术切除非脱垂子宫利于节约患者治疗成本和改善患者预后,具有临床推广价值。

Objective To research the transvaginal surgery in resection of non-prolapsed uterus.Methods 84 cases of operative patients with non-prolapsed uterus admitted and treated in our hospital from June 2014 to June 2017 were selected and randomly divided into two groups with 42 cases in each,respectively treated with transvaginal surgery and transabdominal total resection,and the clinical treatment effect was observed and compared.Results The operation time,intraoperative bleeding,postoperative anus exhaust time and postoperative length of stay in the experimental group were lower than those in the control group,[65±25.0)min,(91±62.0)mL,(16±4.0)h,(4.2±2.1)d vs(78±21.0)min,(164±65.0)mL,(33±2.0)h,(7.4±3.1)d],and the postoperative onset rate and analgesic rate in the experimental group were lower than those in the control group(7.14%,11.90%vs 26.19%,40.47%),and the differences were statistically significant(P<0.05).Conclusion The transvaginal surgery in resection of non-prolapsed uterus is conducive to saving the treatment cost and improving the prognosis of patients,and it is of clinical promotion value.