探讨宫颈环形电切术与子宫切除术间隔时间对术后并发症的影响

Exploration on the Influence of the Interval Time between Cervix Resection and Hysterectomy on Postoperative Complications

目的探讨宫颈环形电切术(LEEP)与子宫切除术间隔时间对术后并发症影响。方法通过回顾性分析的方式,便利选取2015年1月—2020年1月在该院进行LEEP术后再行子宫切除术的240例患者作为研究对象,根据两种手术的间隔时间,将240例患者分为对照组与观察组,各120例,对照组间隔时间为0~4周,观察组间隔时间>4周,对两组患者的术中出血量、手术时间、住院时间、抗生素使用时间以及术后并发症发生率进行比较。结果观察组患者的术后出血量(112.31±25.61)mL明显少于对照组,手术时间(132.32±25.32)min、住院时间(4.32±1.13)d以及抗生素使用时间(3.56±1.21)d均比对照组短,差异有统计学意义(t=21.560、5.970、14.490、6.610,P<0.05);观察组患者的术后并发症发生率为3.33%,对照组为14.17%,观察组明显比对照组少,差异有统计学意义(χ^(2)=8.820,P<0.05)。结论LEEP术后行子宫切除术间隔时间长短不会对治疗效果造成影响,患者在进行LEEP手术后,可随时进行子宫切除术,但间隔4~6周后再对患者进行子宫切除术,可在一定程度上减少患者的术后并发症发生率。

Objective To explore the influence of the interval between cervical circular resection and hysterectomy on postoperative complications.Methods Through retrospective analysis,240 patients who underwent hysterectomy after LEEP surgery in the hospital from January 2015 to January 2020 were convenient selected as the main research objects.According to the interval between the two operations,240 patients were selected.The patients were divided into a control group and an observation group,each with 120 cases.The control group had an interval of 0 to 4 weeks,and the observation group had an interval of>4 weeks.Intraoperative blood loss,operation time,hospitalization time,antibiotics use time and the incidence of postoperative complications were compared.Results The postoperative blood loss of the observation group(112.31±25.61)mL was significantly less than that of the control group.The operation time(132.32±25.32)min,the hospitalization time(4.32±1.13)d and the antibiotic use time(3.56±1.21)d were all shorter than those of the control group,the difference was statistically significant(t=21.560,5.970,14.490,6.610,P<0.05);the postoperative complications rate of the observation group was 3.33%,and that of the control group was 14.17%.The observation group was significantly better than the control group,the difference was statistically significant(χ^(2)=8.820,P<0.05).Conclusion The length of the hysterectomy interval after LEEP does not affect the therapeutic effect.Patients can undergo hysterectomy at any time after LEEP surgery,but hysterectomy can be performed at an interval of 4 to 6 weeks.It can reduce the incidence of postoperative complications in patients to a certain extent.