论文部分内容阅读
目的:探讨小切口改良筋膜内子宫切除术的临床效果和意义。方法:对年龄在45岁以下宫颈无特殊情况又要求行全子宫切除术的27例患者实施小切口改良全子宫切除术。结果:患者切口疼痛轻,切口全部甲级愈合,平均住院10 d。术后随访率95%,随访结果表明无继发更年期症状,与术前无差异。残留宫颈光滑,无肉芽组织生长,性生活满意。结论:小切口改良筋膜内子宫切除术具有创伤小、术后疼痛轻、能够单独处理卵巢固有圆韧带及输卵管等多重优点,值得临床推广。
Objective: To investigate the clinical effect and significance of small incision in improving fascia resection. Methods: A total of 27 patients undergoing total hysterectomy under the age of 45 years without special conditions were treated with small incision and modified hysterectomy. Results: Patient incision pain, all the incisions healed, average hospitalization 10 d. Follow-up rate was 95%. The follow-up results showed no secondary menopause symptoms, no difference with preoperative. Residual cervical smooth, no granulation tissue growth, sexual satisfaction. Conclusion: The small incision improved fascia hysterectomy with less trauma, postoperative pain, can handle the ovary inherent round ligament and fallopian tube multiple merits, worthy of clinical promotion.