腹腔镜筋膜内子宫切除术残留宫颈的病例比较研究

Clinical analysis of modified classical intrafascial supracervical hysterectomy

目的探讨改良腹腔镜筋膜内子宫切除术(classical intrafascial supracervical hysterectomy,CISH)的手术方法、临床资料及随访结果。方法回顾性分析62例改良CISH(研究组)及36例传统CISH(对照组)的临床资料及随访结果。结果①手术时间、术中出血量、术后排气时间研究组均少于对照组,差异有统计学意义(P<0.05);两组术后阴道流血时间、残端宫颈出血率比较,差异无统计学意义(P>0.05)。②术后随访,研究组残留宫颈类似正常外观,对照组宫颈成实性组织。结论改良腹腔镜筋膜内子宫切除术安全、可靠,具有术中出血少,手术时间短、术后恢复快等优点。

Objective To investigate the method of surgery, clinical data and follow - up results of the modified classical intrafascial supracervical hysterectomy （CISH）. Methods Clinical data from 62 cases with modified CISH （study group） and 36 cases of conventional CISH （control group） were retrospectively analyzed. Results （1） The intra - operative time, hemorrhage volume and post - operative exhaust time in study group were less than those in the control group and difference was significant respectively （ P 〈 0. 05 ）. The difference of the postoperative vaginal bleeding time, cervical stump bleeding rate had no statistically difference （ P 〉 0.05 ） between two groups. （2） Postoperative follow - up showed the experimental group was similar to the normal appearance of the residual cervix, while the cervical tissue turned into the solid tissue. Conclusion The modified CISH is a safe, reliable surgery with less blood loss, shorter surgery time and rapid postoperative recovery and the postoperative sexual life without affected and so on.