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探讨一种更安全、更简捷的全子宫切除术术式。方法 :将 40例子宫肌瘤患者作为实验组 ,采取新式开、关腹的改良筋膜内全子宫切除术 ,35例作为对照组 ,采取筋腹外全子宫切除术。记录两组的术中出血量、手术时间、术后病率、术后阴道流血例数及术后 3个月及随访情况。结果 :实验组的术中出血量、手术时间、术后病率、术后阴道流血例数及术后 3个月及 6个月随访情况 :实验组的术中出血量明显少于对照组 (P <0 .0 0 0 1) ,手术时间明显少于对照组 (P <0 .0 5 ) ,术后腹骶坠胀感例数明显少于对照组 (P <0 .0 5 ) ,术后性生活同术前例数明显多于对照组 (P <0 .0 5 ) ,术后病率及术后阴道流血例数无显著差异 (P >0 .0 5 )。结论 :新式开、关腹改良筋膜内全子宫切除术可做为一种更安全、更简捷的全子宫切除术术式。
Explore a safer, more simple hysterectomy. Methods: Forty patients with uterine leiomyoma were selected as the experimental group. The new open and closed abdomen modified hysterectomy and 35 cases as the control group were treated with total hysterectomy. The intraoperative blood loss, operation time, postoperative morbidity, postoperative vaginal bleeding and postoperative 3 months and follow-up were recorded. Results: The intraoperative blood loss, operation time, postoperative morbidity, the number of postoperative vaginal bleeding and the follow-up at 3 months and 6 months after operation were significantly lower in the experimental group than those in the control group P <0.001), the operation time was significantly less than that of the control group (P <0.05), and the number of bulging bulla after operation was significantly less than that of the control group (P0.05) The number of postoperative sexual intercourse was significantly higher than that of the control group (P <0.05). The postoperative morbidity and the number of postoperative vaginal bleeding were not significantly different (P> 0.05). Conclusion: The new open and closed abdomen modified fascia hysterectomy can be used as a safer and more simple hysterectomy.