简介:摘要目的探讨经腹筋膜内全子宫切除术的临床治疗效果。方法选取分析我院2016年6月~2017年12月期间收治的行全子宫切除术治疗患者60例,随机分为观察组和对照组,其中观察组采用经腹筋膜内全子宫切除术治疗,对照组采用经腹全子宫切除术,对两组患者手术治疗的临床疗效进行对比分析。结果经治疗对两组患者手术时间、术中出血量、排气时间、住院时间进行比较,其中观察组明显优于对照组,两组差异显著具有统计学意义(P<0.05)。结论经腹筋膜内全子宫切除术治疗,临床治疗效果明显,安全有效,值得临床推广应用。
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: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:目的比较腹腔镜全子宫切除术(totallaparoscopichysterectomy,TLH)与腹腔镜辅助阴式子宫切除术(laparoscopicassistedvaginalhysterectomy,LAVH)在大子宫切除中的临床疗效。方法回顾性分析2012年1月~2016年12月120例因妇科良性疾病行大子宫切除的临床资料,其中TLH组60例,LAVH组60例,比较2组手术时间、术中出血量、子宫重量、术中中转开腹率、术后肛门排气时间、术后疼痛视觉模拟评分(VisualAnalogueScale,VAS)、手术并发症等指标。结果LAVH组手术时间(120.3±26.3)min,明显短于TLH组(141.2±35.1)min(t=3.694,P=0.000);TLH组术后疼痛VAS评分(3.1±1.0)分,明显低于LAVH组(4.0±1.8)分(t=-3.216,P=0.002)。TLH组和LAVH组中转开腹率分别为5.0%和0,无统计学差异(P=0.244);术中出血量分别为(106.3±88.8)、(132.7±112.7)ml,无统计学差异(t=-1.422,P=0.158);术后排气时间分别为(2.0±0.5)、(1.9±0.4)d,无统计学差异(t=1.474,P=0.143);术后发热等并发症发生率分别为15.0%(9/60)和12.9%(8/60),无统计学差异(χ^2=0.069,P=0.793)。TLH组48例随访6~12个月,平均6.5月,术前症状全部消失,7例(14.6%)新发压力性尿失禁。LAVH组45例随访6~12个月,平均6.6月,术前症状全部消失,4例(8.9%)新发压力性尿失禁。2组术后新发压力性尿失禁发生率无统计学差异(χ^2=0.279,P=0.597)。结论腹腔镜大子宫切除和腹腔镜辅助阴式大子宫切除均为安全有效的治疗方法,TLH术后24h疼痛轻,LAVH手术时间短。
简介:摘要:目的 探究腹腔镜辅助阴式全子宫切除术实行于巨大子宫肌瘤患者治疗中的临床疗效。方法 将本医院2020年1月至2023年1月予以手术治疗的70大子宫肌瘤患者作为研究对象;依据随机双盲法实行分组,各35例;对照组予以开腹子宫切除术(TAH)治疗,观察组予以腹腔镜辅助阴式全子宫切除术LAVH)治疗。比对两组住院天数、术中出血量、手术用时、术后并发症统计率。结果 观察组住院天数、手术用时显著短于对照组(P<0.01),观察组术中出血量显著少于对照组(P<0.01);观察组术后并发症统计率明显少于对照组(P<0.05)。结论 对巨大子宫肌瘤患者实施腹腔镜辅助阴式全子宫切除术的效果较好,展示出重要治疗价值和意义。
简介:【摘要】目的:探讨腹腔镜下全子宫切除术联合宫骶韧带悬吊术针对子宫脱垂的治疗效果。方法:共纳入符合临床干预资格的患者一共60例作为本次研究的所有观察对象;本次研究所招募到的60例患者入院接受干预的时间是2021年1月到2023年5月;按照手术干预方式的不同将患者分为观察组、对照组;对照组患者均接受传统阴式全子宫切除+阴道前后壁修补术,观察组患者均接受腹腔镜下全子宫切除术联合宫骶韧带悬吊术+阴道前后壁修补术;统计、对比两组患者手术时间、机体出血量、住院时间、患者阴道术后长度;风险事件发生率、子宫脱垂复发率。结果:观察组患者接受干预后发生风险的患者人数占比较之对照组明显更低,并且子宫脱垂复发率更低,P<0.05;两组患者手术时间差异不大,但是观察组患者术后阴道长度、住院时间、术中出血量较之对照组更符合理想状况,P<0.05。结论:腹腔镜下全子宫切除术联合宫骶韧带悬吊术干预子宫脱垂有一定治疗积极作用。
简介:目的对腰-硬联合麻醉在子宫次全切除术中的应用效果进行探讨。方法回顾性分析2010年10月至2014年2月,在本院进行子宫次全切除术的66例患者的临床资料,其中腰-硬联合麻醉(CESA)组33例患者,硬膜外麻醉(EA)组33例患者,比较两组患者术中牵拉反应、低血压及辅助用药的发生率,以及麻醉起效时间、痛觉完全消失时间、手术时间、麻醉效果。结果EA组不良反应发生率为78.8%(26/33),CSEA不良反应发生率为60.6%(20/33),两组比较差异无统计学意义(χ^2=2.583,P〉0.05)。CSEA组的麻醉起效时间、痛觉完全消失时间及手术时间均显著性低于EA组(P值均〈0.05)。EA组麻醉优患者20例,占60.6%显著性低于CSEA组的87.9%(29/33)(χ^2=6.418,P〈0.05),EA组的麻醉优良率为81.8%(27/33)显著性低于CSEA组的100%(33/33)(χ^2=6.600,P〈0.05)。结论与硬膜外麻醉(EA)相比,腰-硬联合麻醉(CESA)麻醉效果确切,可作为子宫次全切除术的首选麻醉方式。