简介:摘要目的探究全子宫切除术后对患者给予针对性的心理护理措施,并分析其护理效果。方法选取我院2013年5月-2014年11月收治的全子宫切除术患者80例作为本次的研究对象,并采用调查问卷、访谈等形式统计影响患者情绪的因素,包括术后疼痛、配偶支持、担心手术意外、影响生活质量、影响性生活等。结果所有行全子宫切除术患者中,出现恐惧、紧张的患者占58.75%,焦虑占65.00%,担忧占88.75%,主要与心理社会因素、生理因素、担心术后对生活质量的影响等有关。结论对患者给予适当的心理护理可以使得患者正确认识自身疾病、消除对全子宫切除手术的误解,以良好的心理状态面对自身疾病。
简介:摘要目的比较远端胃切除术和全胃切除术对远端胃癌患者生存情况的影响。方法收集2010年2月至2014年2月我院收治的远端胃癌患者38例,依据治疗方式不同分为两组,19例患者接受远端胃切除术,作为观察组,19例患者接受全胃切除术作为对照组,比较两组患者术后生活质量和术后1年、2年的生存率。结果观察组患者术后生活质量明显优于对照组,P<0.05;观察组患者术后1年生存率为89.47%,对照组为73.68%,P<0.05;观察组患者术后2年生存率为73.68%,对照组为52.63%,P<0.05。结论远端胃切除术在有效清除远端胃癌病灶部位的同时,保留了部分胃部功能,对于提高患者术后的生活质量和营养状况和生存情况具有积极作用,值得推广应用。
简介: [摘要 ]目的:研究Ⅲ度子宫脱垂合并阴道膨出患者应用经阴道全子宫全阴道切除术的临床疗效。方法:随机抽取 29例我院妇产科收治的Ⅲ度子宫脱垂合并阴道膨出患者,将接受经阴道全子宫全阴道切除术的患者纳入观察组( n=16),将接受经阴道全子宫切除术联合修补治疗的患者纳入对比组( n=13)。结果: 2组患者出血量差异不存在统计学意义( t=0.7260, p=0.0524),观察组患者排气时间短于对比组,差异存在统计学意义( t=13.2502, p=0.0118),住院时间短于对比组,差异存在统计学意义( t=16.2930, P=0.0259)。观察组患者并发症总发生率为 18.75%,对比组并发症总发生率为 46.15%,观察组并发症总发生率明显较对比组患者低, 2组差异存在统计学意义( x2=17.8732, p=0.0159)。结论:Ⅲ度子宫脱垂合并阴道膨出患者应用经阴道全子宮全阴道切除术可缩短患者术后恢复时间且具有更高的应用安全性。 [关键词 ]经阴道全子宫全阴道切除术 ;Ⅲ度子宫脱垂 ;阴道膨出 [Abstract] Objective: To study the clinical effect of transvaginal hysterectomy in patients with third degree uterine prolapse and vaginal prolapse. Methods: 29 patients with third degree uterine prolapse and vaginal prolapse were randomly selected. The patients who received transvaginal hysterectomy were included in the observation group (n = 16), and the patients who received transvaginal hysterectomy and repair were included in the control group (n = 13). Results: there was no significant difference in the amount of bleeding between the two groups (t = 0.7260, P = 0.0524), the exhaust time of the observation group was shorter than that of the control group, the difference was statistically significant (t = 13.2502, P = 0.0118), the length of stay was shorter than that of the control group, and the difference was statistically significant (t = 16.2930, P = 0.0259). The total incidence of complications was 18.75% in the observation group and 46.15% in the control group. The total incidence of complications in the observation group was significantly lower than that in the control group. The difference between the two groups was statistically significant (x2 = 17.8732, P = 0.0159). Conclusion: transvaginal hysterectomy can shorten the recovery time of patients with third degree uterine prolapse and vaginal prolapse.
简介: [摘要 ]目的:研究Ⅲ度子宫脱垂合并阴道膨出患者应用经阴道全子宫全阴道切除术的临床疗效。方法:随机抽取 29例我院妇产科收治的Ⅲ度子宫脱垂合并阴道膨出患者,将接受经阴道全子宫全阴道切除术的患者纳入观察组( n=16),将接受经阴道全子宫切除术联合修补治疗的患者纳入对比组( n=13)。结果: 2组患者出血量差异不存在统计学意义( t=0.7260, p=0.0524),观察组患者排气时间短于对比组,差异存在统计学意义( t=13.2502, p=0.0118),住院时间短于对比组,差异存在统计学意义( t=16.2930, P=0.0259)。观察组患者并发症总发生率为 18.75%,对比组并发症总发生率为 46.15%,观察组并发症总发生率明显较对比组患者低, 2组差异存在统计学意义( x2=17.8732, p=0.0159)。结论:Ⅲ度子宫脱垂合并阴道膨出患者应用经阴道全子宮全阴道切除术可缩短患者术后恢复时间且具有更高的应用安全性。 [关键词 ]经阴道全子宫全阴道切除术 ;Ⅲ度子宫脱垂 ;阴道膨出 [Abstract] Objective: To study the clinical effect of transvaginal hysterectomy in patients with third degree uterine prolapse and vaginal prolapse. Methods: 29 patients with third degree uterine prolapse and vaginal prolapse were randomly selected. The patients who received transvaginal hysterectomy were included in the observation group (n = 16), and the patients who received transvaginal hysterectomy and repair were included in the control group (n = 13). Results: there was no significant difference in the amount of bleeding between the two groups (t = 0.7260, P = 0.0524), the exhaust time of the observation group was shorter than that of the control group, the difference was statistically significant (t = 13.2502, P = 0.0118), the length of stay was shorter than that of the control group, and the difference was statistically significant (t = 16.2930, P = 0.0259). The total incidence of complications was 18.75% in the observation group and 46.15% in the control group. The total incidence of complications in the observation group was significantly lower than that in the control group. The difference between the two groups was statistically significant (x2 = 17.8732, P = 0.0159). Conclusion: transvaginal hysterectomy can shorten the recovery time of patients with third degree uterine prolapse and vaginal prolapse.
简介:目的探讨子宫体良性疾病合并宫颈疾病行腹腔镜下子宫次全切除术联合应用高频电波刀宫颈环行电切术的效果及价值。结果本组手术均获成功,术中失血少,恢复快,宫颈光滑。
简介:摘要盆腔器官脱垂(POP)是施行子宫切除术的常见原因之一,但子宫切除术也可能是未来发生POP的原因。本文主要阐述子宫切除术与POP之间的关系、子宫切除术后是否行预防性或治疗性阴道顶端悬吊术(ASP)、盆底修补手术是否同时行子宫切除术等热点问题。子宫切除术与POP,从盆底解剖结构到术式选择及治疗预后有着密切而复杂的关系。因非POP良性疾病适应证切除子宫而无预防阴道顶端脱垂手段的妇女未来可能有发生POP的风险;而因POP适应证切除子宫的妇女,大多数情况下阴道顶端支撑结构已经受损,脱垂发生风险显著增加。因此多个指南建议子宫切除术同时行预防性或治疗性ASP以减少术后阴道顶端脱垂的发生。
简介:摘要目的分析产科急症子宫切除术的手术指征、术式特点及母儿预后,控制产科严重并发症。方法分析2012年1月-2014年1月3年间,在我院住院治疗的26例产科急症子宫切除术病例。结果26例子宫切除中,行子宫全切除5例、子宫次切除21例。胎儿死亡3例,存活23例。结论子宫切除术是治疗产科急性大出血的有效措施之一,降低剖宫产率又可减少产科子宫切除的发生。
简介:摘要子宫肌瘤是子宫平滑肌组织增生形成的,其中含有纤维结缔组织,多见于30-50岁生育年龄的妇女,是女性生殖器官中最常见的良性肿瘤,目前认为子宫肌瘤的发生和发展与雌激素的刺激有关。肌瘤的血液供应来自假包膜内的血管,当肌瘤长大,压迫包膜后,可出现血液供应不足,缺少营养,瘤体易发生各种变性。因此采取腹腔镜切除子宫肌瘤是目前方便安全减轻患者经济负担、减少住院天数,患者痛苦小,近年来,临床应用比较广泛,但也有禁忌证,如严重心肺功能不全,腹腔或盆腔内有急性、慢性炎症粘连、食管裂孔疝、脐疝、盆腔内肿物超出盆腔,血液疾病,严重神经官能症、体质衰弱、不能负担气腹、过度肥胖者等,均不宜进行腹腔镜切除。