自制会阴冷敷垫治疗产后会阴水肿的时效观察

目的:观察自制会阴冷敷垫不同时间治疗产后会阴水肿的疗效。方法:将200例自然分娩行会阴侧切的初产妇随机分为冷敷垫组与对照组各100例。对照组为常规会阴消毒,冷敷垫组除常规会阴消毒外使用自制会阴冷敷垫外敷切口。比较两组产妇产后12 h、24 h、48 h、72 h会阴水肿疗效情况。结果:冷敷垫组会阴水肿和疼痛改善明显优于对照组,两组有显著差异,并且产后72 h内2组产妇会阴水肿疗效等级与治疗时间存在线性相关关系,均有统计学意义(P<0.001)。结论:产后会阴水肿疗效等级随着治疗时间的延长而有显著改善趋势,采用自制会阴冷敷垫外敷疗效优于对照组。

Clinical Efficacy and Safety Analysis of Laparoscopic- assisted Vaginal Surgery and Laparoscopic-alone Surgery in Treatment of Endometrial Cancer

Objective： Assess clinical efficacy and safety analysis of laparoscopic-assisted vaginal surgery and laparoscopic-alone surgery in treatment of endometrial cancer. Methods： select 76 cases of endometrial cancer patients, divided into two groups, 40 in laparoscopic-alone group and 36 in laparoscopic-assisted group, and compare operation time, intraoperative blood loss, intraoperative complications, postoperative complications, lymph node number, anal exhaust time, indwelling catheter days and hospitalization days by group. Result： compared with laparoscopic-alone surgery, laparoscopic-assisted vaginal surgery has certain advantages in reducing intraoperative blood loss, intraoperative and postoperative complications, anal exhaust time, indwelling catheter days and hospitalization days. Discussion： laparoscopic-assisted vaginal surgery is a relatively safe, effective and good economic benefit surgical method in treatment of endometrial cancer.