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目的探讨经腹筋膜内子宫切除术的临床疗效。方法将因良性病变而需要切除子宜并保留一侧或双侧附件的病例164例随机分为两组:观察组78例施行经腹筋膜内子宫切除,对照组86例施行经腹筋膜外子宫切除,比较两组术中术后情况及疗效。结果手术时间、术中出血量、术后病率(体温>38℃)、住院天数、术后阴道残端肉芽肿差异无显著性,术后肛门排气时间、腰腹痛、尿急、尿频、性生活不满意差异有显著性。结论筋膜内子宫切除术保持了盆底的完整性,减少了术中术后并发症的发生,提高了病人术后的生活质量,避免了带电操作的热损伤。
Objective To investigate the clinical efficacy of intra-abdominal fascia hysterectomy. Methods One hundred and sixty-four cases with benign lesions who needed to be excised and one or both of them were reserved were randomly divided into two groups: 78 cases in observation group underwent intra-abdominal hysterectomy and 86 cases in control group After resection, the postoperative outcomes and therapeutic effects were compared between the two groups. Results The operation time, blood loss, postoperative morbidity (body temperature> 38 ℃), length of hospital stay, postoperative vaginal stump granuloma were not significantly different, postoperative anal exhaust time, abdominal pain, urinary urgency, urinary frequency, Sex dissatisfaction difference was significant. Conclusion Fascia hysterectomy maintains pelvic floor integrity, reduces postoperative complications, improves quality of life of postoperative patients, and avoids the thermal injury caused by live operation.