不同阴道断端缝合方案对行微创全子宫切除术患者手术相关临床指标及术后并发症的影响(1)
[摘要] 目的 探討常规和改良阴道断端缝合方案对行微创全子宫切除术患者手术相关临床指标及术后并发症的影响。 方法 方便选取该院2015年5月—2018年5月收治行微创全子宫切除术患者共150例，以随机抽签法分为对照组(75例)和观察组(75例)，分别在术中采用常规和改良阴道断端缝合方案;比较两组患者手术相关临床指标水平和术后并发症发生率。 结果 对照组患者手术时间、术中失血量、术后排气时间及住院时间分别为(105.62±14.85)min、(112.02±18.06)mL，(40.12±4.60)h、(5.68±1.63)d;观察组患者手术时间、术中失血量、术后排气时间及住院时间分别为(82.91±10.20)min、(89.65±12.53)mL、(39.35±4.29)h、(5.29±1.48)d;观察组手术时间和术中失血量均显著少于对照组(t=3.780、4.120，P=0.000、0.000);两组术后排气时间和住院时间比较差异无统计学意义(t=0.780、0.51、P=0.450、0.630);对照组和观察组术后并发症发生率分别为5.33%、0.00%;观察组术后并发症发生率均显著低于对照组(χ2=5.940，P=0.03)。 结论 相较于常规阴道断端缝合方案，改良阴道断端缝合方案用于行微创全子宫切除术可有效缩短手术用时，降低医源性创伤水平，并有助于避免术后并发症出现。
[关键词] 阴道断端;缝合;微创手术;全子宫切除
[中图分类号] R713.4+2 [文献标识码] A [文章编号] 1674-0742(2019)09(c)-0036-03
[Abstract] Objective To investigate the effect of conventional and modified vaginal sutures on surgical outcomes and postoperative complications in patients undergoing minimally invasive hysterectomy. Methods A total of 150 patients with minimally invasive hysterectomy were convenient enrolled in the hospital from May 2015 to May 2018. They were randomly divided into control group (75 cases) and observation group (75 cases). Routine and modified vaginal sutures were used; the clinical outcomes and postoperative complication rates were compared between the two groups. Results The operation time， intraoperative blood loss， postoperative exhaust time and hospitalization time of the control group were (105.62±14.85) min， (112.02±18.06)mL， (40.12±4.60)h， (5.68±1.63)d; the operation time， intraoperative blood loss， postoperative exhaust time and hospitalization time of the observation group were (82.91±10.20) min， (89.65±12.53)mL， (39.35±4.29)h， (5.29±1.48) d; observation group of the operation time and intraoperative blood loss were significantly lower in the group than in the control group (t=3.780， 4.120， P=0.000， 0.000). There was no statistically significant difference in the postoperative exhaust time and hospitalization time between the two groups (t=0.780， 0.510， P=0.450， 0.630); the incidence of postoperative complications in the control group and the observation group were 5.33%， 0.00%， respectively; the incidence of postoperative complications in the observation group was significantly lower than that in the control group (χ2=5.940， P=0.030). Conclusion Compared with the conventional vaginal suture suture protocol， the modified vaginal suture suture protocol for minimally invasive hysterectomy can effectively shorten the time of surgery， reduce the level of iatrogenic trauma， and help to avoid postoperative complications., http://www.100md.com(周丽丽 薛金铃)
[关键词] 阴道断端;缝合;微创手术;全子宫切除
[中图分类号] R713.4+2 [文献标识码] A [文章编号] 1674-0742(2019)09(c)-0036-03
[Abstract] Objective To investigate the effect of conventional and modified vaginal sutures on surgical outcomes and postoperative complications in patients undergoing minimally invasive hysterectomy. Methods A total of 150 patients with minimally invasive hysterectomy were convenient enrolled in the hospital from May 2015 to May 2018. They were randomly divided into control group (75 cases) and observation group (75 cases). Routine and modified vaginal sutures were used; the clinical outcomes and postoperative complication rates were compared between the two groups. Results The operation time， intraoperative blood loss， postoperative exhaust time and hospitalization time of the control group were (105.62±14.85) min， (112.02±18.06)mL， (40.12±4.60)h， (5.68±1.63)d; the operation time， intraoperative blood loss， postoperative exhaust time and hospitalization time of the observation group were (82.91±10.20) min， (89.65±12.53)mL， (39.35±4.29)h， (5.29±1.48) d; observation group of the operation time and intraoperative blood loss were significantly lower in the group than in the control group (t=3.780， 4.120， P=0.000， 0.000). There was no statistically significant difference in the postoperative exhaust time and hospitalization time between the two groups (t=0.780， 0.510， P=0.450， 0.630); the incidence of postoperative complications in the control group and the observation group were 5.33%， 0.00%， respectively; the incidence of postoperative complications in the observation group was significantly lower than that in the control group (χ2=5.940， P=0.030). Conclusion Compared with the conventional vaginal suture suture protocol， the modified vaginal suture suture protocol for minimally invasive hysterectomy can effectively shorten the time of surgery， reduce the level of iatrogenic trauma， and help to avoid postoperative complications., http://www.100md.com(周丽丽 薛金铃)