筋膜内全子宫切除并宫颈成形术50例临床观察

Clinical observation on the intrafascial hysterectomy and tracheloplasty in 50 cases

目的探讨筋膜内全子宫切除并宫颈成形术在妇科临床的应用。方法泸州医学院附属医院妇科自2006年8月至2007年1月以来收治的100例需行子宫切除的患者,其中50例为研究组行筋膜内全子宫切除并宫颈成形术,50例为对照组行筋膜外全子宫切除术,观察两组的手术时间、肛门排气时间、术中出血、术后病率、阴道残端肉芽组织、性生活满意度、阴道残端脱垂情况。结果观察组的手术时间、术后肛门排气时间均短于对照组,术中出血及阴道残端脱垂也少于对照组,差异无统计学意义(P>0.05);而在术后病率、阴道残端肉芽组织、性生活满意度等项均有显著性差异。结论筋膜内全子宫切除并宫颈成形术是一种较好的手术方式,是一种值得推广、应用的术式。

Objective To research the clinical application of intrafascial hysterectomy and tracheloplasty. Methods There were 100 cases needed hysterectomy that were divided into study group including 50 cases taken with intrafascial hysterectomy and tracheloplasty and control group including another 50 cases with epifacial panhysterectomy. Operation time, the volume of bleeding in the operation, postoperative exhausting time, postoperative morbidity, granulation tissue of vagina stump, the satisfaction of sexual life, prolapse of vagina stump were observed. Results The operation time and postoperative exhausting time of study group was shorter that of control group. But there was no significant differences between two groups （ P 〉 0.05 ）. There was significant difference between two groups on postoperative morbidity, granulation tissue of vagina stump and the satisfaction of sexual life （ P 〈 0. 05 ）. Conclusion It was so good for use in clinic practise of intrafascial hysterectomy and tracheloplasty that was worth generalizing and application.