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目的 :总结报告简便腹式全子宫切除术的方法和经验。方法 :对 90例子宫全切术进行了改进和简化 ,采用下腹横行小切口钝性拉开腹壁 ,集束法处理子宫韧带 ,筋膜下脱袖式切除子宫 ,不处理主韧带和宫骶韧带 ,盆腔腹膜间断缝合 3针 ,简化关腹步骤 ,皮外不缝线或仅缝 1～ 3针。结果 :该术式简便快速、出血少、损伤小、恢复快、伤口美观、对术后性生活影响小 ,深受患者欢迎。结论 :简便腹式子宫全切术优于传统术式 ,值得推广应用。
OBJECTIVE: To summarize the methods and experience of reporting simple abdominal hysterectomy. Methods: Totally 90 cases of hysterectomy were improved and simplified. The abdominal wall was unobtrusively inflated with a small incision on the lower abdomen, the uterus ligament was treated by the bundling method, the uterus was removed under the fascia, the main ligament and uterosacral ligaments were not treated, Intermittent pelvic peritoneal suture 3-needle, simple steps to close the abdomen, no skin sutures or only 1 to 3 stitches. Results: The procedure is simple and quick, less bleeding, less damage, faster recovery, beautiful wounds, less impact on postoperative sexual life, welcomed by patients. Conclusion: Simple abdominal hysterectomy is superior to traditional surgical procedures, which is worth popularizing and applying.