中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
19期
58-60
,共3页
韩秀霞%刘葵%孙霞%曹燕华%赵运立
韓秀霞%劉葵%孫霞%曹燕華%趙運立
한수하%류규%손하%조연화%조운립
宫颈上皮内瘤变%宫颈冷刀锥切术%止血方法%出血量
宮頸上皮內瘤變%宮頸冷刀錐切術%止血方法%齣血量
궁경상피내류변%궁경냉도추절술%지혈방법%출혈량
Cervical intraepithelial neoplasia%Cold knife conization%Hemostasis method%Blood loss
目的 探讨缝扎子宫动脉下行支对宫颈冷刀锥切创面止血的疗效.方法 选择2009年6月至2011年5月东营市人民医院86例接受宫颈冷刀锥切术的患者,其中研究组52例,采用缝扎双侧子宫动脉下行支+宫颈创面半荷包缝合成形法,对照组34例,创面半荷包缝合成形法,比较手术时间、术中出血量、术后出血量、术后住院天数及并发症等情况.结果 研究组和对照组平均手术时间分别为(31±11) min和(29±14) main,差异无统计学意义(P＞0.05)；平均术中出血量分别为(26±12)ml和(46±12) ml；平均术后出血量分别为(16±13)ml和(32±19)ml;术后住院天数分别为(3.6±0.5)d和(5.3±1.4)d,差异均有统计学意义(P＜0.05).结论 宫颈冷刀锥切术采用缝扎双侧子宫动脉下行支+创面半荷包缝合成形法,止血效果好,术后住院时间短.
目的 探討縫扎子宮動脈下行支對宮頸冷刀錐切創麵止血的療效.方法 選擇2009年6月至2011年5月東營市人民醫院86例接受宮頸冷刀錐切術的患者,其中研究組52例,採用縫扎雙側子宮動脈下行支+宮頸創麵半荷包縫閤成形法,對照組34例,創麵半荷包縫閤成形法,比較手術時間、術中齣血量、術後齣血量、術後住院天數及併髮癥等情況.結果 研究組和對照組平均手術時間分彆為(31±11) min和(29±14) main,差異無統計學意義(P＞0.05)；平均術中齣血量分彆為(26±12)ml和(46±12) ml；平均術後齣血量分彆為(16±13)ml和(32±19)ml;術後住院天數分彆為(3.6±0.5)d和(5.3±1.4)d,差異均有統計學意義(P＜0.05).結論 宮頸冷刀錐切術採用縫扎雙側子宮動脈下行支+創麵半荷包縫閤成形法,止血效果好,術後住院時間短.
목적 탐토봉찰자궁동맥하행지대궁경냉도추절창면지혈적료효.방법 선택2009년6월지2011년5월동영시인민의원86례접수궁경냉도추절술적환자,기중연구조52례,채용봉찰쌍측자궁동맥하행지+궁경창면반하포봉합성형법,대조조34례,창면반하포봉합성형법,비교수술시간、술중출혈량、술후출혈량、술후주원천수급병발증등정황.결과 연구조화대조조평균수술시간분별위(31±11) min화(29±14) main,차이무통계학의의(P＞0.05)；평균술중출혈량분별위(26±12)ml화(46±12) ml；평균술후출혈량분별위(16±13)ml화(32±19)ml;술후주원천수분별위(3.6±0.5)d화(5.3±1.4)d,차이균유통계학의의(P＜0.05).결론 궁경냉도추절술채용봉찰쌍측자궁동맥하행지+창면반하포봉합성형법,지혈효과호,술후주원시간단.
Objective To investigate the effect of seam firm uterine artery descending branch on hemostasis of cervical wound after cold knife cinization.Methods Eighty-six women who underwent cold knife conization from June 2009 to May 2011 in Dongying people' s hospital were chose,including 52 cases as the study group with seam firm uterine artery descending branch and semi-pouch suture on the cervical wound and 34 cases as the control group with semi-pouch suture on the cervical wound.The effect,operative time,intraoperative and postoperative blood loss,postoperative hospital staying,and complication were compared between the two groups.Results No significant difference was found of the operative time between the study and control group [(31 ± 11) rain vs.(29 ± 14) min] (P ＞ 0.05).In the study group,the intraoperative blood loss [(26 ± 12) ml vs (46 ± 12)ml],postoperative blood loss [(16 ± 13)ml vs (32 ± 19) ml],postoperative hospital staying[(3.6 ±0.5)d vs (5.3 ± 1.4)]d were less than those of the control group,there were significant differences (P all ＜ 0.05).Conclusions Seam firm bilateral uterine artery descending branch and the semi-pouch suture of the cervical wound after cold knife conization will not affect the effect of therapeutic,and it can achieve better hemostasis,shorten postoperative hospital staying.
