论文部分内容阅读
目的探讨改良筋膜内子宫全切术在临床中的应用价值。方法对55例筋膜内全子宫切除术进行回顾性分析,选取同期行传统子宫全切术的47例进行比较。结果两组手术时间、出血量、术后病率及术后恢复等有显著性差异(P<0.05)。结论改良筋膜内子宫全切术既能达到子宫全切之目的,又保留了子宫骶韧带、子宫主韧带及宫旁组织,维护了盆底的支撑结构。同时在筋膜下操作不易损伤膀胱输尿管,缩短了手术时间,提高了手术的安全性,值得临床推广。
Objective To explore the value of modified hysterectomy in clinical application. Methods 55 cases of total fascia hysterectomy were retrospectively analyzed. 47 cases who underwent traditional hysterectomy in the same period were compared. Results The operation time, blood loss, postoperative morbidity and postoperative recovery of the two groups were significantly different (P <0.05). Conclusion The modified fascia hysterectomy can not only achieve the purpose of hysterectomy, but also retain the uterosacral ligament, uterine ligament and palatoplasty, maintaining the pelvic floor support structure. At the same time under the operation of the fascia is not easy to damage the vesicoureteral, shorten the operation time and improve the safety of surgery, it is worth clinical promotion.