【摘要】 目的 比较腹腔镜下全子宫切除术术前两种阴道准备方法预防感染的效果。方法 将腹腔镜下全子宫切除术前需阴道准备者100例随机分为观察组(50例)和对照组(50例)。观察组术前用聚维酮碘(3%)棉球阴道擦洗4次，对照组采用手术前3 d 每晚用棉球沾1:20聚维酮碘冲洗阴道+甲硝唑0.4 g 阴道上药，观察两组患者术后72 h 体温与白细胞数量并进行比较。结果 观察组患者的住院时间与对照组比较差异有统计学意义(P<0.05)，观察组与对照组患者术后72 h 白细胞数量无明显差异(P>0.05)，术后体温也无明显差异(P>0.05)。结论 聚维酮碘棉球阴道擦洗做阴道准备效果满意，明显降低了住院时间，缩短了患者的阴道准备时间，减轻患者的心理压力。
【关键词】 腹腔镜;全子宫切除术;阴道准备
Comparsion of Effects of Different Vagina Preparation in Complete Hysterectomy Under Abdominoscope
Ren Cuiling,Liu Kaijiang,Liu Qing,Hou Shumei
(Xinjing Mcdical CoHege Hospital Affiliatde Hospital Cancer Hospital,Xinjing 830011,China;No.546 Hospital of PLA，Malan 841700，China)
Abstract： Objective To compare effects of two vagina preparation in complete hysterectomy ujnder abdominoscope. Methods A total of 200 patients, who need vagina preparation before complete hysterectomy under abdominoscope, were divided to two groups. Patients in observation group use Iodophors(3%) to scrub vagina 4 times before operation, patients in control group applied bathing vagina using 1:20 Iodophors(3%) and vagina external application 3 days before operation. To observe body temperature and leucocyte quantity 72 hours after operation. Results The length of stay was significant different between two groups, but the body temperature and leucocyte quantity 72hourspostoperation between tow groups were not significant differenct.Conclusion The effect of Iodophors(3%) to preoperative scrub vagina was satisfaction, not only cutted down the length of stay and shortened the time of preoperative vagina preparation but also lessened patients’mental stress of.
Key words： abdominoscope;complete hysterectomy;vagina preparation
腹腔镜手术有着众所周知的优点，随着腹腔镜手术技术的完善，在妇科领域的应用也越来越广泛，经腹腔镜全子宫切除术成为妇科常见手术之一。术后感染是其常见并发症，主要感染来源多为阴道上行感染，因此术前阴道准备是保证手术顺利进行和预防术后感染的重要步骤之一。本研究通过对我院100例需行经腹全子宫切除术的患者术前分别采用两种不同方法行阴道准备，观察术后72 h 体温及术后72 h 的白细胞数量，研究两种不同阴道准备方法之间有无差异及临床可行性。现报告如下。
1 资料与方法
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