鞘内子宫次全切除术辅助Leep宫颈残端移行带切除48例临床分析

Discussion on Intrathecal Subtotal Hysterectomy Assisted with LEEP Cervical Residual End of Transitional Belt Resection

目的探讨鞘内子宫次全切除术辅助Leep宫颈残端移行带切除治疗子宫疾病的临床价值,以提高子宫切除术后的生活质量。方法对48例子宫良性病变合并有宫颈病变患者,行鞘内子宫次全切除术辅助宫颈Leep锥切术的操作及疗效等方面进行分析。结果 48例病人均治愈出院,术后全部复查结果显示:宫颈均光滑,形态恢复正常。结论子宫良性病变合并宫颈疾病的患者可适当放宽子宫次全切的手术指征。随着对盆底功能的深入认识和患者对性生活满意度要求的提高,尤其是年轻且希望保留宫颈又迫切要求手术达到切除病灶的患者,子宫次全切除加Leep是患者一种可选择的手术方式。

Objective To explore intrathecal subtotal hysterectomy assisted with Leep cervical residual end auxilia-ry treatment of uterine transitional belt resection,improve the clinical value of disease after hysterectomy,the qual-ity of life.Methods In 48 patients uterine cervical lesions benign lesions with scabbard,did patients with uterinetimes Leep cone total resection auxiliary cervix cut method and curative effect of operation analysis.Results 48 patients were cured and discharged,postoperative cervical review results were all smooth,form back to normal.Conclusion Uterine cervix benign lesions merger disease relax appropriately uterine times the total resection of surgical indications.With a deep understanding of pelvic function of patients and requirements of sexual satisfaction enhancement,especially young hope with holds cervical and urgent require surgical resection patients to focus,and uterine subtotal resection with Leep might be a choice of operation method.