筋膜内子宫切除术临床体会

Clinical experience of intrafascial hysterectomy

目的:探讨筋膜内子宫切除术的临床价值及可行性。方法:我院因良性子宫病变患者行子宫切除320例,分为筋膜内子宫切除为研究组160例和传统经腹(筋膜外)全子宫切除为对照组160例,比较两组术式之术中、术后临床情况。结果:两组手术时间、术中出血量、术后排气时间、术后并发症发生率相比,研究组较对照组显著减少,差异有显著性(P<0.05)。结论:筋膜内子宫切除术保持了盆底阴道的完整性,对性机能影响小,提高了患者术后的生活质量,筋膜内子宫切除术明显优于传统经腹(筋膜外)全子宫切除术,值得临床推广应用。

To study the clinical application value and feasibility of intrafacial hysterectomy.Methods：320 cases of benign uterine diseases were performed hysterectomy.Among them, 160 cases were intrafascial hysterectomy and other 160 cases were conventional transabdominal hysterectomy.The clinical data before and after operation were compared and analyzed between the two groups. Results：The operative time,intraoperative bleeding amount,postoperative exhaust time and postoperative complications in the intrafaseial hysterectomy group were significantly decreased compared with the conventional transabdominal hysterectomy, which showed significant difference （P〈0.05）.Conelusion：Intrafascial hysterectomy can keep the integrity of pelvic vagina, do little affect to sexual function and increase the postoperative quality of life in patients. Intrafascial hysterectomy is obviously superior to the conventional transabdominal hysterectomy, which is worth to be promoted in clinic.