保养卵巢血养子宫次全切除手术16例临床分析

The analysis about the operation of resecting part of the uterus and reserving blood-supplied ovaries on 16 patients

目的由于全宫切除手术病人术中需切除子宫体及宫颈组织,术后易引起医源性并发症,特别对<50岁患者术后已保留卵巢组织,但其卵巢易出现早衰,性生活质量不满意,排尿无力,因此,对于上述病人进行全宫切除探查一种新的手术方法,以保留卵巢血养。术后不影响卵巢功能及性生活质量是当今妇科医生迫切需解决的问题。方法对患者子宫良性疾病需全宫切除的病人开展保留卵巢血养的子宫次全切除共16例,其中,子宫肌瘤15例,子宫腺肌症1例,所有病人术前均排除无子宫,宫颈恶性肿瘤存在。结果16例病人均顺利采用该新式手术,手术时间在30～40分钟完成,术中出血量80～100ml,术后平均住院时间6～7天,随访12～16个月,16例病人术后恢复好,无并发症发生。结论开展该新式手术治疗子宫良性疾患,手术效果好,安全,无医源性并发症出现,保留一个子宫体,保存盆腔“完整性”,该术式值得推广。

Objective Complications are often appears in the patients who are resected all uterus, included the body of uterus and cervical tissue. Especially in part of patients under 50 years with reserved ovaries. Powerless urination, the ovaries appear senility, sex life is dissatisfied. So the urgent problem for gynecologist to explore is a new operation method which have not influence on the function of ovaries and the quality of sex life. Methods To develop the operation of resecting part of the uterus and reserving blood-supplied ovaries on 16 patients who have positive uterus disease, included 15 uterine myoma and cervical malignancy. Results The operation of resecting part of the uterus and reserving blood-supplied ovaries on 16 patients are successful. It takes about 30-45 minutes, the amount of hemorrhage is about 80-100nd, the patients stay in the hospital 6-7 days, the observation time is 12-16 months. 16 patients have no complications and indisposed symptoms, they are well again. Ultrasonic wave points out there a small uterus in pellic cavity and ovaries are normal. Condu- sion sThe operation of resecting part of the uterus and reserving blood-supplied ovaries has good effect on the patients who have positive uterus disease, it is safe and have no complications. At the same time, it reserves the integrity of pelvic cavity. It is worth to spread in the future.