筋膜内电刀旋切子宫全切除术的临床探讨

Clinical study on operation techniques of intrafasical total hystectomy by peeling electrotome

目的:探讨筋膜内电刀旋切子宫全切除术的优越性。方法:对67例妇科患者实施筋膜内电刀旋切子宫全切除术,对72例行传统的子宫全切术,对两组的手术情况和术后情况进行比较。结果:两组手术时间、术中出血量、住院时间、术后残端感染率及恢复期阴道出血率均有显著性差异(P<0·001或P<0·05),随访结果显示观察组在恢复日常生活时间、恢复性生活时间、残端息肉率和性生活满意度等方面均显著优于对照组(P<0·01)。结论:筋膜内电刀旋切子宫全切除术优于传统的子宫全切除术,值得临床推广应用。

Objective： To investigate the advantage for the intrafascial total hysterectomy by peeling electrotome. Methods： The intrafascial total hysterectomy by peeling electrotome was used in 67 patients with gynecopathy, while the traditional total hysterectomy was used in 72 patients with gynecopathy. The operative case and the pest - operation case were compared between two groups. Results： There were significant differences in operating time, bleeding volume, the time of hospital stay, the infection rate of stump post - operation and the rate of vaginal hemorrhage in recovering period （ P 〈 0. 001 or P 〈 0. 05 ）. Following - up investigation showed that there were also significant differences in the time of recovering normal life, the time of recovering sexual life, the polypus rate of stump and and sexual function between two groups （P 〈 0. 01 ） . Conclusion： The intrafascial total hysterectomy by peeling electrotome is superior to the traditional total hysterectomy, and it can be widely used in clinic.