中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
2期
15-17
,共3页
阴式子宫切除术%腹式子宫切除术
陰式子宮切除術%腹式子宮切除術
음식자궁절제술%복식자궁절제술
Vaginal hysterectomy%Abdominal hysterectomy
目的 评价非脱垂阴式子宫切除术的临床效果.方法 对92例子宫良性病变患者行阴式子宫切除术(TVH)和同期91例患者行腹式子宫切除术(TAH)的临床资料进行回顾性分析,并用SF-36量表评价TVH术后患者的生存质量.结果 TVH手术时间为(107±35) min,手术前后血红蛋白的变化为(14±9)g/L.术中生命体征的波动情况:收缩压波动范围为(14±9)mm Hg(1 mm Hg =0.133 kPa),舒张压波动范围为(10±7)mm Hg,脉搏波动范围为(12±7)次/min.术后48 h内排气53例,术后病率15例,除手术时间外其余各项均明显优于TAH.TVH术中、术后并发症发生率(1.09％)与TAH(5.49％)比较差异无统计学意义.TVH手术前后患者除社会功能外,生理功能、生理角色限制、躯体疼痛,总体健康,活力、情感角色限制、心理健康7个维度差异均有统计学意义.结论 TVH患者术中干扰小,术中出血少,术后恢复快、并发症少;TVH患者术后生存质量提高.
目的 評價非脫垂陰式子宮切除術的臨床效果.方法 對92例子宮良性病變患者行陰式子宮切除術(TVH)和同期91例患者行腹式子宮切除術(TAH)的臨床資料進行迴顧性分析,併用SF-36量錶評價TVH術後患者的生存質量.結果 TVH手術時間為(107±35) min,手術前後血紅蛋白的變化為(14±9)g/L.術中生命體徵的波動情況:收縮壓波動範圍為(14±9)mm Hg(1 mm Hg =0.133 kPa),舒張壓波動範圍為(10±7)mm Hg,脈搏波動範圍為(12±7)次/min.術後48 h內排氣53例,術後病率15例,除手術時間外其餘各項均明顯優于TAH.TVH術中、術後併髮癥髮生率(1.09％)與TAH(5.49％)比較差異無統計學意義.TVH手術前後患者除社會功能外,生理功能、生理角色限製、軀體疼痛,總體健康,活力、情感角色限製、心理健康7箇維度差異均有統計學意義.結論 TVH患者術中榦擾小,術中齣血少,術後恢複快、併髮癥少;TVH患者術後生存質量提高.
목적 평개비탈수음식자궁절제술적림상효과.방법 대92례자궁량성병변환자행음식자궁절제술(TVH)화동기91례환자행복식자궁절제술(TAH)적림상자료진행회고성분석,병용SF-36량표평개TVH술후환자적생존질량.결과 TVH수술시간위(107±35) min,수술전후혈홍단백적변화위(14±9)g/L.술중생명체정적파동정황:수축압파동범위위(14±9)mm Hg(1 mm Hg =0.133 kPa),서장압파동범위위(10±7)mm Hg,맥박파동범위위(12±7)차/min.술후48 h내배기53례,술후병솔15례,제수술시간외기여각항균명현우우TAH.TVH술중、술후병발증발생솔(1.09％)여TAH(5.49％)비교차이무통계학의의.TVH수술전후환자제사회공능외,생리공능、생리각색한제、구체동통,총체건강,활력、정감각색한제、심리건강7개유도차이균유통계학의의.결론 TVH환자술중간우소,술중출혈소,술후회복쾌、병발증소;TVH환자술후생존질량제고.
Objective To evaluate the clinical effect of total vaginal hysterectomy on non-prolapsed uterus.Methods The clinical data of 92 patients with benign uterine diseases treated by total vaginal hysterectomy and 91 patients with benign uterine diseases treated by total abdominal hysterectomy were retrospectively reviewed and made use short form 36 health survey (SF-36) to evaluate the postoperative quality of life.Results The operative time was (107 ± 35) min ; changed scope of hemoglobin was (14 ± 9) g/L; the intra-operative vital sign fluctuated range:contractive pressure changed range was (14 ± 9)mm Hg(1 mm Hg =0.133 kPa),diastolic pressure changed range was (10 ±7)mm Hg,pulse changed range was(12 ±7) meta/min.The time of passage of gas by anus in 48 hours(53 cases),the postoperative pyrexia(15 cases),except for the operative time,the rest of total vaginal hysterectomy were better than total abdominal hysterectomy.There were no significant differences between the two groups in occurrence of intra-or post-operative complications (TVH:1.09％,TAH:5.49％).Apart from social function,there were obviously significant differences between pro-or post-operation in physical function,physical role,body pain,general health,vitality,emotional role and mental health in seven respects.Conclusions Total vaginal hysterectomy has the advantages in minimal invasion,less blood loss,rapid recovery and less postoperative complications; the patients' quality of life after total vaginal hysterectomy can be improved.
