腹式子宫颈锥切式子宫切除术

Conization of cervix for uterus of gastrohysterectomy

目的 探讨腹式子宫颈锥切式子宫切除术的手术要点及临床应用价值。方法 随机对1 1 2例因各种良性妇科疾病需行子宫全切术治疗的患者 ,分别采用子宫颈锥切式子宫切除术和常规子宫切除术 ,并对患者进行术后 2月内、4月内复查及对 4月后性生活情况随访。结果 两种术式手术时间上差别无显著性 (P >0 .0 5)。术后出现阴道出血及并发残端炎性充血、息肉例数差别有显著性 (P <0 .0 5)。与术前性生活相比较 ,两术式术后夫妇性生活满意与否差别有显著性 (P <0 .0 1 )。结论 腹式子宫颈锥切式子宫切除术 ,在达到治疗目的的同时 ,解除了患者因失去宫颈对生活质量造成心理。

Objective To evaluate the technical procedure and the clinical value of conization of cervix for uterus of gastrohysterectomy.Methods 112 patients suffering from various kinds of benign gynecological diseases underwent conization and resection randomly, and their sexual lives were followed in two months, four months and after four months.Results No significant difference was found between them(P>0.05). Postoperatively,there was significant difference in the percentage of bleeding, inflammatory hyperemia and polyp at the vaginal stump(P<0.05).Compared with preoperative sexual life,there was a significant difference in satisfactionb of sexual life after two types of operation(P<0.05).Conclusion Conization of cervix for uterus of gastrohysterectomy,could cure patients of their disease,meanwhile it could overcome the patients'uneasiness about the life quality for loss of cervix.