150例子宫切除宫颈去留的评价

Evaluation of the advantage of remaining cervix in 150 hysterectomia

目的探讨子宫切除宫颈去留之利弊,重新评价子宫次全切除术的应用价值。方法对81例子宫次全切与69例子宫全切两组病人术后性生活质量、膀胱功能、更年期症状进行对比,并观察残留宫颈情况。结果两组术后性生活质量、膀胱功能均下降,以全切组下降更为明显(P<0.01或0.05)。残留宫颈无发现1例下垂、息肉或癌瘤,涂片均为巴氏Ⅰ或Ⅱ级。结论两种术式对对性生活质量与膀胱功能的影响全切组更为明显。提倡对每例患者都权衡宫颈去留之利弊,以提高手术满意度和术后生活质量。

Objective to study the advantage of remaining cervix in hysterectomia, to revaluation the value of vice-hysterectomia. Method: to contrast sexual function, bladder function and climacteric sumptom after operation of hysterectomia group(81 cases) with vice-hysterectomia group, and observe the residual cervix. Result: sexual function, bladder function descend in all cases, but it is more obvious in hysterectomia group than in vice-hysterectomia group.(P<0.01 or 0.05).Conclusion the remaining cervix have li...