简介: 【摘 要】 目的:对比腹腔镜下子宫全切残端经阴道缝合术与开腹子宫全切术的效果。方法:以 2017年 3月至 2019年 12月在本院行子宫全切术治疗的 40例患者作为对象展开研究,根据手术方式将患者分为对照组( n=20,采用开腹子宫全切术治疗)和观察组( n=20,采用腹腔镜下子宫全切残端经阴道缝合术治疗)。比较两组患者手术相关情况,同时对患者随访 6个月,比较两组术后并发症发生率,并采用健康调查简表( SF-36)评价患者术前、术后的生活质量评分。结果:观察组的术中出血量明显少于对照组,阴道排液时间、肛门排气时间、住院时间明显短于对照组( P<0.05) ;而两组的手术时间比较差异无统计学意义( P>0.05)。对患者随访 6个月后发现,观察组的残端出血、残端息肉、膀胱阴道瘘、切口愈合不良发生率均明显低于对照组 ;且观察组术后各生活质量评分均显著高于术前和对照组( P<0.05)。结论:腹腔镜下子宫全切残端经阴道缝合术相比开腹子宫全切术具有创伤小、出血少、恢复快等优势,可有效缩短患者术后康复时间,减少并发症的发生,提高患者预后生活质量。 【关键词】 腹腔镜 ;子宫全切术 ;阴道残端 ;开腹 ;经阴道缝合 [Abstract] Objective: To compare the effect of laparoscopic total hysterectomy and open hysterectomy. Methods: 40 patients with hysterectomy in our hospital from March 2017 to December 2019 were selected and divided into control group (n = 20, treated with open hysterectomy) and observation group (n = 20, treated with laparoscopic vaginal suture). The operation related conditions of the two groups were compared, and the patients were followed up for 6 months, the incidence of postoperative complications was compared between the two groups, and the quality of life scores of patients before and after operation were evaluated by SF-36. Results: the intraoperative blood loss of the observation group was significantly less than that of the control group, and the vaginal discharge time, anal exhaust time and hospitalization time were significantly shorter than those of the control group (P < 0.05); however, there was no significant difference in the operation time between the two groups (P > 0.05). After 6 months of follow-up, it was found that the incidence of stump bleeding, stump polyps, vesicovaginal fistula and poor wound healing in the observation group were significantly lower than those in the control group; and the quality of life scores in the observation group were significantly higher than those before operation and in the control group (P < 0.05). Conclusion: compared with open hysterectomy, laparoscopic total hysterectomy with transvaginal suture has the advantages of less trauma, less bleeding and faster recovery, which can effectively shorten the recovery time of patients, reduce the occurrence of complications, and improve the prognosis and quality of life of patients.
简介:摘要目的分析全胃切除空肠P袢代胃术对胃底贲门癌的治疗效果。方法选取胃底贲门癌患者62例,随机分为两组,对照组30例行常规近侧胃切除术,观察组32例行全胃切除空肠P袢代胃术,比较两组治疗情况。结果两组手术时间、术中出血量组间无显著差异(P>0.05);观察组术后并发症发生率15.6%明显低于对照组50.0%(P<0.05),术后3个月随访,观察组胃排空时间及每次饮食量均大于对照组,每天饮食次数明显少于对照组(P<0.05)。术后12个月对照组生存率70.0%,观察组生存率93.8%;两组差异显著(P<0.05)。结论全胃切除空肠P袢代对胃底贲门癌有显著治疗价值,可提高患者生存率,并发症发生风险低,值得推广。
简介:目的:探讨不同子宫全切术的临床疗效和安全性。方法将行子宫全切术的90例患者按随机数字表法分为A组、B组和C组,每组30例。A组接受腹腔镜下子宫全切术,B组接受经阴道子宫全切术,C组接受传统开腹子宫全切术,比较3组的临床效果。结果A组肛门排气时间、下床活动时间、住院时间明显低于B、C组(P<0.05),A组住院费用明显高于B、C组(P<0.05)。A组患者术前及术后3个月雌二醇、卵泡刺激素(ESH)、黄体生成素(LH)及孕酮水平与B组和C组比较差异无统计学意义(均P>0.05)。A组远期并发症发生率(23.3%)明显低于A组(73.3%)及B组(76.7%)(P<0.05)。结论腹腔镜子宫全切术效果更好,但费用较贵。
简介:摘要:目的:分析对食管癌患者采用管状胃代食管术与全胃代食管术的治疗效果。方法:收集2019年6月到2022年6月期间,在我院接受治疗的食管癌患者56例患者的临床资料及数据,运用随机数字表法将患者进行分组,对照组与研究组各有28例,对照组接受全胃代食管术治疗方案,研究组患者采用管状胃代食管术,对比分析分组干预后的患者手术指标以及并发症发生情况。结果:经干预后,研究组患者的各项手术指标比较对照组均无统计学意义(P>0.05);研究组患者并发症发生率低于对照组患者(P<0.05)。结论:管状胃代食管术相较于全胃代食管术,能够降低并发症发生率,提高患者术后生活质量,在临床应用中具有较好的推广价值。