全子宫加双侧输卵管切除术治疗子宫疾病的效果分析

Analysis of the Effect of Total Uterus plus Bilateral Tubectomy in the Treatment of Uterine Diseases

目的:分析全子宫加双侧输卵管切除术治疗子宫疾病的效果。方法:选取2021年6月—2023年6月于浠水县人民医院行子宫切除术的90例患者作为研究对象,随机分为对照组与研究组,各45例。对照组实施广泛性子宫全切术,研究组实施全子宫加双侧输卵管切除术。比较两组治疗效果。结果:研究组手术时间、住院时间短于对照组,首次排气时间早于对照组,差异有统计学意义(P<0.001)。术前及术后6个月,两组卵泡刺激素、黄体生成素、雌二醇水平及收缩期最大血流速度、舒张期最小血流速度比较,差异无统计学意义(P>0.05)。研究组并发症总发生率低于对照组,差异有统计学意义(P=0.044)。结论:全子宫加双侧输卵管切除术治疗子宫疾病的效果显著,能够缩短手术时间,促进康复,且并发症发生率较低。

Objective:To analyze the effect of total uterus plus bilateral tubectomy in the treatment of uterine diseases.Methods:Ninety patients who underwent hysterectomy in Xishui County People's Hospital from June 2021 to June 2023 were selected as the study subjects,and randomly divided into the control group and the study group,forty-five cases each.Extensive total hysterectomy was performed in the control group,and total uterus plus bilateral tubectomy was performed in the study group.Compare the treatment effects of the two groups.Results:The operation time and hospitalization time of the study group were shorter than that of the control group,and the time of the first exhaustion was earlier than that of the control group,and the difference was statistically significant(P<0.001);comparing the levels of follicle-stimulating hormone,luteinizing hormone,and estradiol as well as the maximal systolic and minimal diastolic blood flow velocities between the two groups before and 6 months after the operation,the differences were not statistically significant(P>0.05);the total complication rate of the study group was lower than that of the control group,and the difference was statistically significant(P=0.044).Conclusion:Total uterus plus bilateral tubectomy is effective in the treatment of uterine diseases,which can shorten the operation time,promote recovery,and has a lower complication rate.