CAJ | 학술논문

目的：研究阴式子宫次全切除术的应用效果。方法将东莞市察步医院63例行子宫次全切除术的患者分为2组阴式组（n=35）和腹式组（n=28）。阴式组患者经阴道行子宫次全切除术，腹式组患者则行传统的腹式子宫次全切除术。记录2组患者的手术时间、术中出血量、术后12 h的视觉模拟评分法（VAS）评分、肛门首次排气时间、住院时间和住院费用等。结果阴式组患者的手术时间(91.3±6.5)min比腹式组的(75.7±8.9)min长，差异有统计学意义（P<0.05），阴式组患者的术中出血量(117.4±11.7)mL与腹式组的(122.6±13.5)mL比较差异无统计学意义；阴式组患者的术后VAS评分(1.69±0.38)比腹式组的(3.22±0.71)低，差异有统计学意义（P<0.05），阴式组患者的肛门首次排气时间(22.1±4.6)h早于腹式组患者的(35.8±6.8)h，差异有统计学意义（P<0.05）；阴式组患者的住院时间(5.4±1.9)d短于腹式组患者的(8.2±2.7)，差异有统计学意义（P<0.05），阴式组患者的住院费用(5243.8±188.5)元少于腹式组患者的(6546.5±298.2)元（P<0.05）。结论阴式子宫次全切除术具有创伤小、恢复快、不影响美观等优点。
목적：연구음식자궁차전절제술적응용효과。방법장동완시찰보의원63례행자궁차전절제술적환자분위2조음식조（n=35）화복식조（n=28）。음식조환자경음도행자궁차전절제술，복식조환자칙행전통적복식자궁차전절제술。기록2조환자적수술시간、술중출혈량、술후12 h적시각모의평분법（VAS）평분、항문수차배기시간、주원시간화주원비용등。결과음식조환자적수술시간(91.3±6.5)min비복식조적(75.7±8.9)min장，차이유통계학의의（P<0.05），음식조환자적술중출혈량(117.4±11.7)mL여복식조적(122.6±13.5)mL비교차이무통계학의의；음식조환자적술후VAS평분(1.69±0.38)비복식조적(3.22±0.71)저，차이유통계학의의（P<0.05），음식조환자적항문수차배기시간(22.1±4.6)h조우복식조환자적(35.8±6.8)h，차이유통계학의의（P<0.05）；음식조환자적주원시간(5.4±1.9)d단우복식조환자적(8.2±2.7)，차이유통계학의의（P<0.05），음식조환자적주원비용(5243.8±188.5)원소우복식조환자적(6546.5±298.2)원（P<0.05）。결론음식자궁차전절제술구유창상소、회복쾌、불영향미관등우점。
Objective To investigate the application of transvaginal subtotal hysterectomy.Methods Sixty-three patients underwent subtotal hysterectomy were divided into two groups, transvaginal group and transabdominal group. The patients in the transvaginal group were carried out transvaginal subtotal hysterectomy. The patients in the transabdomina group were carried out transabdomina subtotal hysterectomy. The operation time, intranperative blood loss,VAS score at 12h after operation, ifrst time of anus exhaust, hospital stay and hospitalization cost were recorded in both groups.Results The operation time in transvaginal group was longer than it in transabdominal group.The intranperative blood loss was not signiifcantly different in both groups. The VAS score in transvaginal group was lower than it in transabdominal group. The ifrst time of anus exhaust in transvaginal group was earlier than it in transabdominal group. The hospital stay in transvaginal group was shorter than it in transabdominal group. The hospitalization cost in transvaginal group was less than it in transabdominal group.Conclusion Transvaginal subtotal hysterectomy has the merits of small trauma, fast recovery and not inlfuencing beauty.