东南大学学报(医学版)
東南大學學報(醫學版)
동남대학학보(의학판)
JOURNAL OF SOUTHEAST UNIVERSITY(MEDICAL SCIENCE EDITION)
2015年
4期
601-604
,共4页
黄美霞%温梅梅%姚祺%杨晓帆%周小琴
黃美霞%溫梅梅%姚祺%楊曉帆%週小琴
황미하%온매매%요기%양효범%주소금
宫腔镜手术%宫颈准备%米索前列醇
宮腔鏡手術%宮頸準備%米索前列醇
궁강경수술%궁경준비%미색전렬순
hysteroscope operation%cervical preparation%misoprostol
目的:研究宫颈环形套扎配合米索前列醇片在宫腔镜手术中的应用。方法:我院2011年5月至2014年12月间收治准备行宫腔镜手术的病例161例,每一病种按入院顺序分别分入A、B、C 3组。 A组54例术前4 h米索前列醇400μg塞阴道,术中乳胶套圈环形套扎宫颈;B组54例术前4 h米索前列醇400μg塞阴道;C组53例为对照组。对比3组的宫颈扩张情况、手术时间、宫颈损伤情况。结果:A、B组首次能直接通过≥7号扩张棒的分别有38、41例,分别占70.37%、75.93%,与C组(6例、11.32%)比差异有统计学意义, P<0.05。 A、B 两组组间比较差异无统计学意义,P >0.05。 A、B、C 组平均手术时间分别为(29.54±6.23)、(40.87±7.65)、(67.49±5.27)min,A、B两组分别与C组相比,差异有统计学意义,P<0.05。 A组宫颈损伤率18.52%(10/54)、B组宫颈损伤率37.04%(20/54)、C组宫颈损伤率92.45%(49/54),3组组间比较,差异有统计学意义,P<0.05。结论:米索前列醇用于宫腔镜手术前软化宫颈口准备效果肯定,若加用宫颈环形套扎使宫颈管闭合性更好,术中漏水发生率有所下降、膨宫效果更理想。此法操作简单,值得临床推广应用。
目的:研究宮頸環形套扎配閤米索前列醇片在宮腔鏡手術中的應用。方法:我院2011年5月至2014年12月間收治準備行宮腔鏡手術的病例161例,每一病種按入院順序分彆分入A、B、C 3組。 A組54例術前4 h米索前列醇400μg塞陰道,術中乳膠套圈環形套扎宮頸;B組54例術前4 h米索前列醇400μg塞陰道;C組53例為對照組。對比3組的宮頸擴張情況、手術時間、宮頸損傷情況。結果:A、B組首次能直接通過≥7號擴張棒的分彆有38、41例,分彆佔70.37%、75.93%,與C組(6例、11.32%)比差異有統計學意義, P<0.05。 A、B 兩組組間比較差異無統計學意義,P >0.05。 A、B、C 組平均手術時間分彆為(29.54±6.23)、(40.87±7.65)、(67.49±5.27)min,A、B兩組分彆與C組相比,差異有統計學意義,P<0.05。 A組宮頸損傷率18.52%(10/54)、B組宮頸損傷率37.04%(20/54)、C組宮頸損傷率92.45%(49/54),3組組間比較,差異有統計學意義,P<0.05。結論:米索前列醇用于宮腔鏡手術前軟化宮頸口準備效果肯定,若加用宮頸環形套扎使宮頸管閉閤性更好,術中漏水髮生率有所下降、膨宮效果更理想。此法操作簡單,值得臨床推廣應用。
목적:연구궁경배형투찰배합미색전렬순편재궁강경수술중적응용。방법:아원2011년5월지2014년12월간수치준비행궁강경수술적병례161례,매일병충안입원순서분별분입A、B、C 3조。 A조54례술전4 h미색전렬순400μg새음도,술중유효투권배형투찰궁경;B조54례술전4 h미색전렬순400μg새음도;C조53례위대조조。대비3조적궁경확장정황、수술시간、궁경손상정황。결과:A、B조수차능직접통과≥7호확장봉적분별유38、41례,분별점70.37%、75.93%,여C조(6례、11.32%)비차이유통계학의의, P<0.05。 A、B 량조조간비교차이무통계학의의,P >0.05。 A、B、C 조평균수술시간분별위(29.54±6.23)、(40.87±7.65)、(67.49±5.27)min,A、B량조분별여C조상비,차이유통계학의의,P<0.05。 A조궁경손상솔18.52%(10/54)、B조궁경손상솔37.04%(20/54)、C조궁경손상솔92.45%(49/54),3조조간비교,차이유통계학의의,P<0.05。결론:미색전렬순용우궁강경수술전연화궁경구준비효과긍정,약가용궁경배형투찰사궁경관폐합성경호,술중루수발생솔유소하강、팽궁효과경이상。차법조작간단,치득림상추엄응용。
Objective: To study the cervical loop ligation with the application of misoprostol tablets in hysteroscope operation.Methods: 161 women ready for hysteroscopy in our hospital in May 2011 to December 2014, every disease in hospital order was divided into group A, B, C respectively.Group A:54 cases, 4 hours before surgery, plugging 400 μg in vagina; and ligaturing the uterine cervix with rubber ferrule.Group B:54 cases, 4 hours before surgery, plugging 400 μg in vagina; Group C: 34 cases, for the control group.The cervical dilatation, operation time, and cervical injury of three groups were compared.Results: 38, 41 cases, respectively in group A and B, for the first time, can be directly through the 7 expansion rod, accounting for 70.37%, 75.93%;And compared with patients in group C (6 cases, 11.32%) there were significant differences, <br> P<0.05.But there was no significant difference between the group A and B, P>0.05.The average operation time was(29.54 ±6.23) min in group A,(40.87 ±7.65) min in group B,(67.49 ±5.27) min in group C, compared with group C, group A and B respectively had significant difference, P<0.05.Cervical injury rate was 18.52%(10/54) in group A, 37.04%(20/54) in group B, 92.45%(49/54) in group C, there were significant differences among three groups, P<0.05.Conclusion: The effect of misoprostol in cervical preparation before hysteroscopic operation is positive; This method is simple in operation, it is worthy of clinical application.If combining with cervical loop ligation, closure properties of cervical canal can be better.Intraoperative leakage rates decline.Besides, the effect for expanding uterine cavity is satisfying.