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目的:比较阴式子宫切除与腹式子宫切除术的临床应用价值。方法:选取2015年3月至2016年3月于罗定市妇幼保健院行子宫切除术患者94例,根据手术方式将其分为两组,其中对照组行经腹子宫切除术(TAH),25例;观察组行经阴道子宫切除术(TVH),69例。比较两组术后恢复时间(排气时间、住院时间等)及手术安全性。结果:观察组术后恢复时间如排气时间、住院时间较对照组均明显减少,差异有统计学意义(P<0.05);观察组并发症发生率较对照组明显减低(6.82%<21.74%),差异有统计学意义(P<0.05)。结论:TVH相比于TAH具有显著的微创优势,有助于患者术后恢复,避免外观瘢痕,提高手术安全性,但手术技能要求较高,术前需严格掌握适应证。
Objective: To compare the clinical value of vaginal hysterectomy and abdominal hysterectomy. Methods: From March 2015 to March 2016, 94 patients underwent hysterectomy in the Maternity and Child Care Hospital of Luoding were selected and divided into two groups according to the operation method. The control group received TAH, Cases; observation group underwent vaginal hysterectomy (TVH), 69 cases. The recovery time (exhaust time, hospitalization time, etc.) and operative safety of the two groups were compared. Results: The recovery time of observation group was significantly shorter than that of control group (P <0.05). The incidence of complications in observation group was significantly lower than that of control group (6.82% <21.74% ), The difference was statistically significant (P <0.05). Conclusion: Compared with TAH, TVH has significant minimally invasive advantages, which is helpful for postoperative recovery, avoiding appearance scars and improving surgical safety. However, the technical requirements for surgery are high and the indications should be strictly controlled before operation.