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目的:改进传统的子宫切除,保障受术者健康,提高患者的生活质量,提高医疗水平。方法:对628例有子宫切除指征的患者实行改良筋膜内全子宫切除术,采取从子宫动、静脉血管结扎线稍高处环行锐性、钝性结合分离宫颈筋膜达宫颈阴道部,沿宫颈外口平面环行切除子宫。结果:本手术与传统术式相比:手术时间明显缩短,出血少,损伤小。结论:凡有子宫全切除指征的良性病例均可采用本术式。术中由于子宫骶韧带和主韧带未受损伤,不影响对盆腔脏器的支持和承托能力,且阴道穹隆结构完整,可提高术后患者的生活质量。
Objective: To improve the traditional hysterectomy, to protect the health of the surgeon, to improve the quality of life of patients and improve the medical level. Methods: A total of 628 patients with hysterectomy indications were treated with modified fascia hysterectomy. The uterus was taken from the uterus and ligated at a slightly higher level for ring sharpness and blunt dissection. Circumcision along the cervix outside the uterus. Results: The operation compared with the traditional surgical procedures: surgery time was significantly shorter, less bleeding, less damage. Conclusion: All patients with hysterectomy indications of benign cases can use this technique. Intraoperative sacral ligaments and the main ligament due to undamaged, does not affect the pelvic organ support and supporting capacity, and the vaginal vault structure integrity, can improve postoperative quality of life of patients.