目的探讨筋膜内子宫切除术的特床治疗效果。方法回顾分析65例患者的临床资料。结果治疗组65例,均于手术后24~48 h排气,手术后24 h内拔除导尿管,1例术后24 h内有少许阴道流血,扩开阴道检查为阴道内残留血,清除后无再出血,术后5~7 d拆线,均为甲级愈合,其中30例均获随访3~6个月,均无阴道异常出血,无一例发现宫颈残端肉芽增生。术后2~3个月恢复性生活;治疗组的治疗结果明显优于对照组。结论经腹筋膜内子宫切除术最大范围地去除病变,消除了发生残端癌的危险,又保留了主韧带、骶骨带及部分宫颈组织,保留了盆底、阴道的完整性,防止阴道及脏器脱垂,有利于保持直肠、膀胱的正常功能,不影响术后性生活质量,值得临床应用。 Objective To investigate the special bed treatment of fascia hysterectomy. Methods The clinical data of 65 patients were retrospectively analyzed. Results In the treatment group, 65 patients were discharged after 24-48 h after operation. The catheter was removed within 24 h after surgery. One patient had slight vaginal bleeding within 24 h after operation. No further bleeding after 5 to 7 days after suture removal, are grade A healed, of which 30 cases were followed up for 3 to 6 months, no abnormal vaginal bleeding, no case of cervical stump granulation hyperplasia. 2 to 3 months postoperative recovery life; treatment group was significantly better than the control group. Conclusion Intra-abdominal fasciotomy is the best method to remove the lesions and eliminate the risk of stump cancer. The main ligament, the sacral band and some cervical tissues are retained. The integrity of the pelvic floor and vagina is preserved, preventing vaginal and visceral Prolapse of the device is conducive to maintaining the normal function of the rectum and bladder, does not affect the quality of postoperative sexual life, it is worth clinical application.