阴式全子宫切除术近远期并发症探讨

摘要

Objective To discuss the short-term and long-term complications after transvaginal hysterectomy. Methods 100 pa-tients admitted to our hospital and undergoing hysterectomy between January 2010 and June 2014 were selected as the research object and randomized into control group (n=50) and observation group (P=50), in which traditional hysterectomy and transvaginal hysterectomy were performed separately. The short-term and long-term complications were observed. Results In the observation group, the short-term complications included urinary tract infection(8%), vagina stump hemorrhage(10%), venous thrombosis in lower abdomen (2%), urinary retention (6%);the short-term complications included polypoid hyperplasia (6%), ovary syndome (6%), menopaus(40%), cardiovascular diseases(6%). The short-term and long-term complication rate was lower in the observa-tion group than in the control group, and the differences were statistically significant, P<0.05. Conclusion Transvaginal hysterecto-my can provide lower short-term and long-term complications rate if performed regularly upon strict operation indication.%目的：探讨阴式全子宫切除术近远期的并发症。方法选取了2010年1月—2014年6月期间来该院治疗的100例需子宫切除的患者作为研究对象,将两组患者随机分为对照组和观察组,每组50例患者,对50例观察组患者实施阴式全子宫切除术,50例对照组患者实施传统子宫切除术。观察患者经治疗后出现的近远期并发症情况。结果观察组患者经治疗后近期并发症状主要表现为尿路感染(8%)、残端出血(10%)、下腹静脉血栓(2%)、尿潴留(6%)；远期并发症状为息肉样增生(6%)、卵巢综合征(6%)、绝经(40%)、心血管疾病(6%)。其近远期并发症状机率明显优于对照组。两组差异有统计学意义(P<0.05)。结论对患者进行阴式全子宫切除术时应该对严格掌握手术指征,操作规范,减少术后出现各种并发症。