子宫颈增大状态下输尿管与子宫颈间距离的测量

Measurement of the distance between uretero and uterine neck in the condition of enlargement of uterine neck

目的测量宫颈增大状态下输尿管与子宫颈间的水平距离。探讨宫颈增大状态下输尿管与子宫颈间的位置变化,以利于在腹式子宫切除术中预防输尿管的损伤。方法选择2004年3月至2004年7月喀什地区第一人民医院31例宫颈增大患者(A组)和同期30例非宫颈增大患者(B组)。手术前均行阴道检查及B超测量宫颈直径,手术中分别测量双侧输尿管内缘至同侧宫颈外缘的水平距离,进行统计学分析。结果A组输尿管与子宫颈间距离为(4.4±3.6)mm较B组(17.4±2.4)mm显著缩小。二组输尿管与子宫颈间距离比较差异非常显著(P<0.01),但与年龄、身高、体重无关。结论宫颈增大状态下输尿管与子宫颈间距离缩小。

Objective To measure the distance between uretero and uterine neck in order to prevent the damage of uretero in transabominal hysterectomy.Methods 31 patients with enlargement of uterine neck (group A) and 30 patients without enlargement of uterine neck were selected in the study.The distance between the uretero and uterine neck was measured in operation.Results The distance was (4.4±3.6)mm in group A and (17.4±2.4)mm in group B.There was a significant difference between two groups (P<0.01),however,which had nothing with age,height and weight.Conclusion The distance is decreased between uretero and uterine neck in the condition of enlargement of uterine neck.