论文部分内容阅读
目的探讨开腹手术行子宫肌瘤切除术的临床分析。方法选取我院2014年8月至2015年8月28例开腹手术行子宫肌瘤切除术患者的临床资料进行回顾性分析。观察患者术前和术后第4天CD4/CD8水平和IgG表达情况及伤口愈合情况。同时观察患者术中出血量和手术时间及肛门排气时间、术后自主下床活动时间等。结果治疗后,患者术中出血量和手术时间及肛门排气时间、术后自主下床活动时间、留置尿管时间、平均住院时间分别为(350.21±12.02)ml、(97.65±10.21)min、(1.65±0.36)d、(6.22±0.75)d、(2.01±0.27)d、(18.34±3.07)d。术后发热人数为1例;并发症:术后感染1例。切口甲级愈合25例,乙级愈合3例,无丙级愈合,全部病例愈合。术后病理检查无病变。结论开腹手术治疗胃癌的临床效果比较好,患者在手术之后恢复比较快,安全性比较高,开腹手术适合治疗胃癌,值得在临床实践中广泛的应用和推广。
Objective To investigate the clinical analysis of open surgery for myomectomy. Methods The clinical data of 28 patients with myomectomy undergoing open surgery from August 2014 to August 2015 in our hospital were retrospectively analyzed. The preoperative and postoperative day 4 CD4 / CD8 levels and IgG expression and wound healing were observed. At the same time observe the amount of intraoperative blood loss and operation time and anal exhaust time, postoperative ambulation time and so on. Results After the operation, the amount of bleeding, the time of operation, the time of anus extubation, the time of going out of bed after operation, the duration of catheter stay, and the average length of hospital stay were (350.21 ± 12.02) ml and (97.65 ± 10.21) min, (1.65 ± 0.36) d, (6.22 ± 0.75) d, (2.01 ± 0.27) d, (18.34 ± 3.07) d respectively. The number of postoperative fever was 1 case. Complication: 1 case was postoperative infection. Incision grade healed in 25 cases, B healed in 3 cases, no grade C healed, all cases healed. Postoperative pathological examination without lesions. Conclusion The clinical effect of laparotomy in the treatment of gastric cancer is relatively good. The patients recover faster and more safely after operation. The laparotomy is suitable for treating gastric cancer, which deserves wide application and promotion in clinical practice.