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| Comparison of clinical efficacy between modified vaginal hysterectomy and abdominal hysterectomy and its impact on body stress response |
| SHA Zhi-liu |
| Department of Obstetrics and Gynecology, Yangjiang Bo′ai Hospital, Guangdong Province, Yangjiang 529500, China |
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Abstract Objective To compare the clinical efficacy of modified vaginal hysterectomy and abdominal hysterectomy and its impact on the body′s stress response.Methods From July 2016 to March 2019, 200 patients who were going to undergo hysterectomy in our hospital were selected as subjects.According to the different surgical methods, they were divided into modified vaginal hysterectomy group (n=100) and abdominal hysterectomy group (n=100).The changes of stress response, operation and postoperative complications were compared between the two groups.Results The levels of interleukin-6 (IL-6) and C-reactive protein (CRP) in the modified vaginal hysterectomy group were lower than those in the abdominal hysterectomy group, and the differences were statistically significant (P＜0.05).The levels of IL-6 and CRP were higher than those before operation in the two groups (P＜0.05).The intraoperative bleeding in the modified vaginal hysterectomy group was less than that in the abdominal hysterectomy group.The operation time, postoperative exhaust time and the time of activities after operation were shorter than those of the abdominal hysterectomy group,with statistical differences (P＜0.05).The total incidence of postoperative complications in the modified vaginal hysterectomy group was lower than that of abdominal hysterectomy, with statistical difference (P＜0.05).Conclusion Compared with abdominal hysterectomy, modified vaginal hysterectomy can play an important role in the operation and is applicable for more patients.Because it has less restriction, shortens the operation time, reduces the intraoperative bleeding, decreases the levels of IL-6 and CRP, and effectively control the occurrence of complications.
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