宫体合并宫颈良性病变行筋膜内子宫切除术87例分析

Analysis on 87 Cases of Intrafascial Hysterectomy in Benign Uterine and Cervical lesions

目的探讨腹式筋膜内子宫切除术的临床应用价值。方法对87例腹壁横切口筋膜内子宫全切术做回顾性分析,并选择同期行传统子宫切除术91例作对照,比较研究组和对照组在手术时间、出血量、排气时间、住院日、术后性功能等方面的差异。结果研究组与对照组在手术时间、术后切口疼痛程度、术后排气时间、术后切口愈合情况及住院天数、自觉性满意度、性功能影响度经统计学处理,差异均有统计学意义。结论腹壁横切口筋膜内子宫全切术与传统子宫全切除术相比,具有手术时间短、出血少、创伤小,术后恢复快、切口美观、对性功能影响小等优点,适宜在基层卫生院推广。

[ Objective] To study the clinical effect of abdominal intrafascial hysterectomy. [ Methods] 87 cases of abdominal crosscut intrafascial hysterectomy were retrospectively analyzed, and 91 cases of traditional hysterectomy at the same time were selected as the control group. The differences of operation time, blood loss, exhaust time, hospitalization days and postoperative sexual function between two groups were compared. [ Results] There were significant differences in the operation time, level of postoperative incision pain, postoperative exhaust time, postoperative wound healing, hospitalization days, self sexual satisfaction and sexual function effect between the study group and the control group. [ Conclusion ] Compared with the traditional hysterectomy, the abdominal crosscut intrafascial hysterectomy has the advantages of short operation time, less blood loss, little trauma, quicker recovery, incision esthetics and less effect on sexual function, which is worth popularizing in basic hospital.