菏泽医学专科学校学报
菏澤醫學專科學校學報
하택의학전과학교학보
JOURNAL OF HEZE MEDICAL COLLEGE
2015年
2期
18-20
,共3页
子宫肌瘤/治疗%经腹子宫肌瘤剔除术/外科手术%经阴子宫肌瘤剔除术/外科手术
子宮肌瘤/治療%經腹子宮肌瘤剔除術/外科手術%經陰子宮肌瘤剔除術/外科手術
자궁기류/치료%경복자궁기류척제술/외과수술%경음자궁기류척제술/외과수술
Uterine neoplasms/therapy%Abdominlinal hysterectomy resection/surgery%Vaginal myomectomy/sur-gery
目的：探讨阴式子宫肌瘤剔除术在基层医院开展的安全性、可行性及临床疗效。方法选择子宫肌瘤剔除的住院患者60例作为研究对象，分为阴式组和腹式组，每组各30例，比较两组手术时间、术中出血量、肛门排气时间、体温变化及住院天数等。所获数据采用方差分析、t检验。结果阴式组手术时间和术中出血量分别为(70.2±18.5) min、(110.3±20.2) mL，与腹式组相比，两者无显著性差异（P>0.05）。阴式组术后住院天数、术后肛门排气时间分别为（5.1±1.4）d、(17.8±4.6) h，明显短于腹式组，两者相比有显著性差异（P<0.05）。阴式组术后最高体温（37.8±0.9）℃低于腹式组，两者相比有显著性差异（P<0.05）。阴式组住院总费用（5112.8±196.6）元略高于腹式组（4825.6±246.8）元，但无显著性差异（P>0.05）。结论阴式子宫肌瘤剔除术是一种安全、可行、经济、疗效确切的微创手术，值得各级医院开展。
目的：探討陰式子宮肌瘤剔除術在基層醫院開展的安全性、可行性及臨床療效。方法選擇子宮肌瘤剔除的住院患者60例作為研究對象，分為陰式組和腹式組，每組各30例，比較兩組手術時間、術中齣血量、肛門排氣時間、體溫變化及住院天數等。所穫數據採用方差分析、t檢驗。結果陰式組手術時間和術中齣血量分彆為(70.2±18.5) min、(110.3±20.2) mL，與腹式組相比，兩者無顯著性差異（P>0.05）。陰式組術後住院天數、術後肛門排氣時間分彆為（5.1±1.4）d、(17.8±4.6) h，明顯短于腹式組，兩者相比有顯著性差異（P<0.05）。陰式組術後最高體溫（37.8±0.9）℃低于腹式組，兩者相比有顯著性差異（P<0.05）。陰式組住院總費用（5112.8±196.6）元略高于腹式組（4825.6±246.8）元，但無顯著性差異（P>0.05）。結論陰式子宮肌瘤剔除術是一種安全、可行、經濟、療效確切的微創手術，值得各級醫院開展。
목적：탐토음식자궁기류척제술재기층의원개전적안전성、가행성급림상료효。방법선택자궁기류척제적주원환자60례작위연구대상，분위음식조화복식조，매조각30례，비교량조수술시간、술중출혈량、항문배기시간、체온변화급주원천수등。소획수거채용방차분석、t검험。결과음식조수술시간화술중출혈량분별위(70.2±18.5) min、(110.3±20.2) mL，여복식조상비，량자무현저성차이（P>0.05）。음식조술후주원천수、술후항문배기시간분별위（5.1±1.4）d、(17.8±4.6) h，명현단우복식조，량자상비유현저성차이（P<0.05）。음식조술후최고체온（37.8±0.9）℃저우복식조，량자상비유현저성차이（P<0.05）。음식조주원총비용（5112.8±196.6）원략고우복식조（4825.6±246.8）원，단무현저성차이（P>0.05）。결론음식자궁기류척제술시일충안전、가행、경제、료효학절적미창수술，치득각급의원개전。
Objective This study was designed to explore the safety feasibility and clinical effect of vaginal myo?mectomy in basic level hospital. Methods Based on clinical data were retrospectively analyzed, 60 cases of hospitalized patients with uterine fibroids out as the research object is divided into Yin type and abdominal group, 30 cases in each group, then compare two groups of patients of observation indexes. Results Yin type the operative time and intraopera?tive blood loss, respectively (70.2±18.5) min,(110.3 ±20.2) ml, compared with abdominal group, no statistical significance (P>0.05). Yin type group, postoperative hospitalization days, postoperative anal exhaust time (5.1 ± 1.4) d, respectively (17.8 ±4. 6) h, obviously shorter than the abdominal group, compared the two was statistically significant (P<0.05). Yin type group began the highest temperature (37.8 ± 0.9)℃lower than that of abdominal group, compared the two was statis?tically significant (P<0.05). Yin type group was in the hospital total cost (5112.8 ±196.6) yuan slightly higher than the ab?dominal group (4825.6 ± 246.8) yuan, but no statistical significance (P>0.05). Conclusion Vaginal myomectomy is a safe feasible economical and effective microinvasive operation. It is worth of all levels of hospital development.
