经腹子宫切除术术式的选择

Choice of Operative Method on the Abdominal Hysterectomy

目的 合理选择子宫切除术术式 ,提高患者对手术的满意度和术后生活质量。方法 总结我院 1994年至 2 0 0 2年间行经腹经典全子宫切除术、次全子宫切除术及筋膜内全子宫切除术 5 63例的手术情况及术后随访情况。结果 经典全子宫切除术手术费时 ,创伤大 ,术后性生活质量受影响大 ;次全子宫切除术及筋膜内全子宫切除术手术时间短 ,创伤小 ,术后性生活质量受影响小。结论 对于子宫良性病变的手术治疗 ,应首选次全子宫切除术或筋膜内全子宫切除术 。

Objective The operative method on the abdominal hysterectomy were choosed to advance the patient's contentment after operation and the living quality.Methods The data of operative process and visitation after surgery were discussed that 563 cases with traditional total hysterectomy,supravaginal hysterectomy and intrafascial total hysterectomy from 1994 to 2002.Results The traditional total hysterectomy take time and energy,and large dmaging to tissues,and large of an impediment to postoperative sexual intercourse.The supravaginal hysterectomy and intrafascial total hysterectomy is simple,convenient,fast,and less damaging to tissues,quicker recovery,and less of an impediment to postoperative sexual intercourse.Conclusions The supravaginal hysterectomy and intrafscial total hysterectomy should be choosed first to advance the patient's contentment after operation and the living quality that uterine benign diseases are treated with surgery.