摘要
目的研究三种全子宫切除术(TAH、TVH和LH)术中出血量和泌尿系感染的关系。方法回顾性郑州大学第二附属医院妇产科因子宫良性疾病行全子宫切除术的患者3300例,(TAH组962例,TVH组1035例,LH组1303例),比较三组术中出血量和泌尿系感染发生率。结果三组泌尿系感染发生率分别为TAH 4.37%,TVH3.57%,LH4.22%。三组间差别无统计学意义。三组发生泌尿系感染的出血量之间差异显著,TAH组明显高于TVH组和LH组。同一术式,发生泌尿系感染和无泌尿系感染的出血量无差异。结论全子宫切除术泌尿系感染的发生可能手术创伤、导尿管的保留时间、护理措施和抗生素的应用相关,而与术式无关和出血量无关。
Objective To study the relationship between the perioperative blood losing in different types of hystereetomy（TAH,TVH,LH） and postoperative infection. Methods We conducted a retrospective review of 3300 cases （ benign disease） of elective hysterectomy （ TAH 692, TVH 1035, LH 1303 ） from December. 2009 to August. 2014. And compare the perioperative blood losing and the rate of urinary tract infection. Results The rate of urinary tract infection in three groups was similar（ T4.37% ,3.57% and 4.22% respectively）. The difference of perioperative blood losing incidence of urinary tract infection were significant in three groups. TAH were higher than LH. LH were higher than TVH. The urinary tract infectionand the perioperative blood losing were unrelated, not only in TAH, but also in TVH and LH. Conclusion The urinary tract infection had no relationship with the types of hysterectomy and perioperative blood losing. Operation trauma, time of catheter keeping, nursing and antibiotics may play an important role in the urinary tract infection.
出处
《医药论坛杂志》
2015年第3期10-11,共2页
Journal of Medical Forum
基金
河南省教育厅科学研究重点项目科技攻关计划
14A320015
