96例经改良腹壁横切口子宫切除术临床分析

Clinical analysis of 96 cases of modified abdomino hysterectomy with transverse incrision

目的:探讨经改良腹壁横切口子宫切除术的疗效及特点。方法:收集2001年7月至2009年6月行改良腹壁横切口子宫切除术96例(改良组)和经下腹部纵切口行子宫切除术70例(对照组)的临床资料。对两组患者的手术切口疼痛、手术后排气时间、手术中的出血量情况、手术使用的时间等情况进行分析研究,并进行随访工作。结果:改良组与对照组相比,手术时间短、术中出血少、术后肛门排气时间短、拆线时间短,术后皮肤美观度高。结论:经改良腹壁横切口子宫切除术优于经下腹部纵切口行子宫切除术,优其在年轻的患者中,值得推广。

Objective：To study the therapeutic effect and characteristics of modified abdomino hysterectomy with transverse incrision.Methods：The clinical data of 96 patients with modified abdomino hysterectomy with transverse incrision （as experimental group） and 70 patients with lower abdominal vertical incision （as control group） between July 2001 and June 2009 was collected,and the petermination of operating time,blood loss,postoperative exhaust time,pain from incision and the incision healing was observed and analyzed.Results：Contrasting to control group,the modified abdomino hysterectomy with transverse incrision had the significant advantages of short operative time,blood loss,early recovery and little scar.Conclusion：The modified abdomino hysterectomy with transverse incrision is superior to the lower abdominal vertical incision,especially in young patients.