宫颈锥切术后行子宫全切术的间隔时间对手术效果的影响分析

目的 探讨宫颈锥切术后再行子宫全切术的手术间隔时间对手术并发症的影响。方法 回顾性分析2012年1月~2018年10月银川市妇幼保健院宫颈锥切术后行子宫全切术76例患者临床资料，按照手术间隔时间不同分为三组，宫颈锥切术后72 h内行子宫全切术的22例患者设为A组；宫颈锥切术后72 h~4周行子宫全切术的患者25例设为B组；宫颈锥切术后4周以上行子宫全切术的29例患者设为C组，比较三组之间术中出血、手术时间、术后体温、手术并发症。结果 三组之间术中出血、手术时间比较，差异无统计学意义（P＞0.05），而三组之间术后体温≥38℃的天数比较，差异有统计学意义（P＜0.05），且B组术后体温≥38℃的天数多于A组与C组，差异有统计学意义（P＜0.05）。B组并发症发生率为44.00%，分别高于A组的13.64%和C组的13.79%，差异有统计学意义（P＜0.05）。结论 宫颈锥切术后72 h~4周行子宫全切术，术后并发症发生率高，术后感染率高，应避免在此时间段手术。

Analysis of the Effect of Interval of Hysterectomy after Cervical Conization on Surgical Outcome

Abstract:Objective To investigate the effect of surgical interval of total hysterectomy after cervical conization on surgical complications. Methods The clinical data of 76 patients undergoing total hysterectomy after cervical conization in Yinchuan Maternal and Child Health Hospital from January 2012 to October 2018 were retrospectively analyzed. The patients were divided into three groups according to the time interval of surgery.22 patients undergoing hysterectomy within 72 h after cervical conization were set to group A; 25 patients who underwent total hysterectomy between 72 h-4 weeks after cervical conization were set to group B; cervical cone Twenty-nine patients who underwent total hysterectomy more than 4 weeks after operation were enrolled in the C group. The intraoperative hemorrhage, operation time, postoperative temperature and surgical complications were compared between the three groups. Results There was no significant difference in the intraoperative bleeding and operation time between the three groups (P>0.05), and the difference in the postoperative temperature between the three groups was ≥38°C,the difference was statistically significant (P<0.05), and the number of days after ≥38°C in group B was higher than that in group A and C, the difference was statistically significant (P<0.05). The complication rate of group B was 44.00%, which was higher than 13.64% in group A and 13.79% in group C, the difference was statistically significant (P<0.05). Conclusion Total hysterectomy is performed between 72 h -4 weeks after cervical conization. The postoperative complication rate is high and the postoperative infection rate is high. Surgery should be avoided during this period.