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Therapy of B-ultrasound-guided puncture for incision infection after total abdominal hysterectomy

机译:腹部全子宫切除术后B超引导下穿刺的切口感染治疗

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OBJECTIVE: This paper aims to investigate the clinical efficacy of B-ultrasound-guided puncture in the treatment of incision infection after total abdominal hysterectomy (TAH) and to provide references for the clinical treatment. PATIENTS AND METHODS: 116 patients with uterine incision infection after TAH were selected and randomly divided into the observation group and the control group, with 58 cases in each group. The patients in the control group received an intravenous drip of ceftazidime and tinidazole to prevent infection, and the patients in the observation group received B-ultrasound-guided puncture treatment on the basis of the treatment plan of the control group. The clinical therapeutic effects between the two groups were compared. RESULTS: The cure rate of excellence in the observation group was 84.48%, and the cure rate in the control group was 53.45%, while the difference between the two groups was statistically significant (p0.05). The total effective rate in the observation group was 98.28%, and that in the control group was 87.93%, but there was no statistically significant difference between the two groups. The hospital stay was (9.5±1.6) days in the observation group and (12.3±2.1) days in the control group, and the mean hospital stay in the observation group was significantly shorter than that in the control group; the difference between the two groups was statistically significant (p0.05). CONCLUSIONS: TAH should be performed on patients when they are in the best physical condition, and strictly according to the operation steps to reduce the duration of surgery. The application of B-ultrasound-guided puncture can effectively improve the excellent recovery rate of the incision infection after TAH and shorten the hospitalization time. It is worth popularizing in clinical practice.
机译:目的:探讨B超引导下穿刺治疗全腹子宫切除术(TAH)后切口感染的临床疗效,为临床治疗提供参考。方法选择116例TAH术后子宫切口感染患者,随机分为观察组和对照组,每组58例。对照组患者接受了头孢他啶和替硝唑的静脉滴注以预防感染,观察组患者根据对照组的治疗计划接受了B超引导穿刺治疗。比较两组之间的临床治疗效果。结果:观察组的优良治愈率为84.48%,对照组的治愈率为53.45%,而两组之间的差异具有统计学意义(p <0.05)。观察组总有效率98.28%,对照组总有效率87.93%,但两组之间无统计学差异。观察组住院时间为(9.5±1.6)天,对照组为(12.3±2.1)天,观察组平均住院时间明显短于对照组。两组之间的差异具有统计学意义(p <0.05)。结论:TAH应在患者处于最佳身体状态时进行,并严格按照手术步骤进行,以减少手术时间。 B超引导下穿刺可有效提高TAH术后切口感染的优良恢复率,缩短住院时间。在临床实践中值得推广。

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