筋膜内全子宫切除术90例临床分析

Clinical Analysis on Intra Fascia Panysterectomy

目的探讨筋膜内全子宫切除术在临床中的应用价值。方法对90例筋膜内全子宫切除术进行回顾性分析,选取同期行传统子宫全切术的90例进行比较。结果筋膜内全子宫切除术后病率及术中副损伤均为0,手术时间平均79min,平均出血量100mL,与传统子宫全切术有显著差异。结论筋膜内全子宫切除术保存了子宫骶韧带、子宫主韧带及宫旁组织,维护了盆底的支撑结构,在筋膜下操作不易损伤膀胱输尿管,且明显缩短了手术时间,值得临床推广。

Objective To discuss the application value of intra fascia panhysterectomy(IFP) in clinic. Methods 90 cases of such patient were analyzed retrospectively and compared with classical hysterectomy of 90 cases. Results There was no occurrence and side effect after operation with average time of 79 min and 100ml bleeding. There was significant difference with classical methods. Conclusion The IFP could remain the pelvic supporting structure without injury of bladder and ureter and protect uterosacral ligament and cardinal ligament. The operation time was shortened that should be used extensively.