简介: [摘要 ]目的:研究Ⅲ度子宫脱垂合并阴道膨出患者应用经阴道全子宫全阴道切除术的临床疗效。方法:随机抽取 29例我院妇产科收治的Ⅲ度子宫脱垂合并阴道膨出患者,将接受经阴道全子宫全阴道切除术的患者纳入观察组( n=16),将接受经阴道全子宫切除术联合修补治疗的患者纳入对比组( n=13)。结果: 2组患者出血量差异不存在统计学意义( t=0.7260, p=0.0524),观察组患者排气时间短于对比组,差异存在统计学意义( t=13.2502, p=0.0118),住院时间短于对比组,差异存在统计学意义( t=16.2930, P=0.0259)。观察组患者并发症总发生率为 18.75%,对比组并发症总发生率为 46.15%,观察组并发症总发生率明显较对比组患者低, 2组差异存在统计学意义( x2=17.8732, p=0.0159)。结论:Ⅲ度子宫脱垂合并阴道膨出患者应用经阴道全子宮全阴道切除术可缩短患者术后恢复时间且具有更高的应用安全性。 [关键词 ]经阴道全子宫全阴道切除术 ;Ⅲ度子宫脱垂 ;阴道膨出 [Abstract] Objective: To study the clinical effect of transvaginal hysterectomy in patients with third degree uterine prolapse and vaginal prolapse. Methods: 29 patients with third degree uterine prolapse and vaginal prolapse were randomly selected. The patients who received transvaginal hysterectomy were included in the observation group (n = 16), and the patients who received transvaginal hysterectomy and repair were included in the control group (n = 13). Results: there was no significant difference in the amount of bleeding between the two groups (t = 0.7260, P = 0.0524), the exhaust time of the observation group was shorter than that of the control group, the difference was statistically significant (t = 13.2502, P = 0.0118), the length of stay was shorter than that of the control group, and the difference was statistically significant (t = 16.2930, P = 0.0259). The total incidence of complications was 18.75% in the observation group and 46.15% in the control group. The total incidence of complications in the observation group was significantly lower than that in the control group. The difference between the two groups was statistically significant (x2 = 17.8732, P = 0.0159). Conclusion: transvaginal hysterectomy can shorten the recovery time of patients with third degree uterine prolapse and vaginal prolapse.
简介: [摘要 ]目的:研究Ⅲ度子宫脱垂合并阴道膨出患者应用经阴道全子宫全阴道切除术的临床疗效。方法:随机抽取 29例我院妇产科收治的Ⅲ度子宫脱垂合并阴道膨出患者,将接受经阴道全子宫全阴道切除术的患者纳入观察组( n=16),将接受经阴道全子宫切除术联合修补治疗的患者纳入对比组( n=13)。结果: 2组患者出血量差异不存在统计学意义( t=0.7260, p=0.0524),观察组患者排气时间短于对比组,差异存在统计学意义( t=13.2502, p=0.0118),住院时间短于对比组,差异存在统计学意义( t=16.2930, P=0.0259)。观察组患者并发症总发生率为 18.75%,对比组并发症总发生率为 46.15%,观察组并发症总发生率明显较对比组患者低, 2组差异存在统计学意义( x2=17.8732, p=0.0159)。结论:Ⅲ度子宫脱垂合并阴道膨出患者应用经阴道全子宮全阴道切除术可缩短患者术后恢复时间且具有更高的应用安全性。 [关键词 ]经阴道全子宫全阴道切除术 ;Ⅲ度子宫脱垂 ;阴道膨出 [Abstract] Objective: To study the clinical effect of transvaginal hysterectomy in patients with third degree uterine prolapse and vaginal prolapse. Methods: 29 patients with third degree uterine prolapse and vaginal prolapse were randomly selected. The patients who received transvaginal hysterectomy were included in the observation group (n = 16), and the patients who received transvaginal hysterectomy and repair were included in the control group (n = 13). Results: there was no significant difference in the amount of bleeding between the two groups (t = 0.7260, P = 0.0524), the exhaust time of the observation group was shorter than that of the control group, the difference was statistically significant (t = 13.2502, P = 0.0118), the length of stay was shorter than that of the control group, and the difference was statistically significant (t = 16.2930, P = 0.0259). The total incidence of complications was 18.75% in the observation group and 46.15% in the control group. The total incidence of complications in the observation group was significantly lower than that in the control group. The difference between the two groups was statistically significant (x2 = 17.8732, P = 0.0159). Conclusion: transvaginal hysterectomy can shorten the recovery time of patients with third degree uterine prolapse and vaginal prolapse.
简介:摘 要:阴道炎有细菌性阴道炎、滴虫性阴道炎和外阴阴道念珠菌病等,外阴阴道念珠菌病的病原体为白色念珠菌,通常没有明显的临床症状,但当患者阴道糖原含量显著增加,酸度增高显著,患者体内维生素B含量少的时候,就会在阴道内大量繁殖白色念珠菌,导致感染。临床上细菌性阴道炎主要表现为白带增多,呈细糊状,淡黄色,有鱼腥味等。过度使用抗生素或患者雌激素水平低时,乳酸杆菌的正常生长会受到控制,因此杆状菌和厌氧菌等容易大量繁殖,最后引起细菌性阴道炎。毛滴虫阴道炎由阴道毛滴虫感染引起的。主要是由于阴道内pH值发生变化,破坏防御机制,引起细菌感染而导致疾病。妇科中阴道炎是比较常见的炎症性疾病,是因阴道的防御能力被破坏,病原菌入侵引起炎症。阴道炎临床表现主要以外阴瘙痒,白带增多,稀薄以及呈淡黄色比较常见。如果阴道炎用药不合适或耽搁治疗,将严重影响患者的生活质量和工作效率,因此及时有效的治疗显得尤为重要。虽然临床治疗常使用抗生素或者抗真菌药物等治疗,效果也明显,但使用消炎药会导致耐药增强,容易复发。所以,本研究旨在对乳酸菌阴道胶囊与甲硝唑片治疗联合使用,探讨其对阴道乳酸菌的影响,并对治疗效果进行分析探讨 。
简介:【摘要】目的:探讨分析制霉菌素阴道胶囊联合乳酸菌阴道胶囊在阴道炎治疗中的临床治疗效果。方法:时间:2022年2月-2023年7月,选择于我院妇科收治的106例阴道炎患者作为研究对象,利用信封抽签法分组,分为联合组与单一组,各53例。联合组实施制霉菌素阴道胶囊联合乳酸菌阴道胶囊治疗,单一组实施制霉菌素阴道胶囊治疗。比较组间症状改善时间、炎症反应。结果:联合组外阴灼烧痛、外阴瘙痒感、白带性状异常、阴道黏膜充血等症状改善时间均明显短于单一组,(P<0.05)差异有统计学意义。治疗前,组间IL-6、IL-4、TNF-α等炎症反应经对比,(P>0.05)差异无统计学意义;治疗后,联合组IL-6、IL-4、TNF-α等炎症反应均明显优于单一组,(P<0.05)差异有统计学意义。结论:制霉菌素阴道胶囊与乳酸菌阴道胶囊共同治疗阴道炎的疗效更加显著,值得广泛应用与推广。
简介:患者女,34岁。因尿频、尿急、尿痛、小腹坠痛、血尿1d,于2005年5月17日来院就诊。体检:T38.39℃,P80次/min,BP100/72mmng(1mmHg=0.133kPa),心肺未见异常,腹平软、肝脾肋下未触及,下腹部有压痛,无腹肌紧张和反跳痛,无移动性浊音,肠鸣音无亢进。实验室检查:WBC12.1×10^9/L,中性粒细胞0.82、淋巴细胞0.18;尿常规:WBC^30个MP,RBC10个/HP;粪便检查正常。诊断为急性尿路感染,给予盐酸环丙沙星0.5g,2次/d口服。服药后1d尿频、尿急、尿痛症状减轻,2d后肉眼血尿消失,3d后症状完全缓解,但出现阴道出血,如同月经。病人本次就诊前末次月经时间为5月5日,经期5d,故排除月经的可能。查肝功、肾功未见异常,血、尿常规正常,考虑可能为环丙沙星药物所致,给予停药处理,2d后出血量明显减少,3d后停止。