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作者参考电视腹腔镜全子宫切除(CISH式)的方法,采用WISAP宫颈锯齿刀管,经腹行筋膜内子宫切除术34例。其中子宫肌瘤27例,子宫腺肌病5例,子宫内膜增生过长2例。平均手术时间1小时40分钟,术后均顺利康复。一个月后追踪复查,宫颈外鞘残端创面均愈合良好,形成新的宫颈外口。作者认为,经腹筋膜内子宫切除,既可切除病变的子宫、容易恶变的宫颈管粘膜及移行带,又不缩短阴道的长度,不扩大手术范围。具有并发症少、术后恢复快、生活质量高、操作简单等优点,是较为理想的子宫切除术式,值得临床推广应用。
The author refers to the method of laparoscopic hysterectomy (CISH), using WISAP cervical serrated pipe, transfascial fasciofemoidectomy in 34 cases. Including 27 cases of uterine fibroids, adenomyosis in 5 cases, 2 cases of endometrial hyperplasia. The average operation time of 1 hour and 40 minutes, were recovered smoothly. A month after the follow-up review, sturdy wounds of cervical sheath healed well, the formation of a new cervix outside the mouth. The authors believe that intra-abdominal fascia hysterectomy, both diseased uterus, easy to malignant cervical canal mucosa and transition zone, without reducing the length of the vagina, do not expand the scope of the operation. With less complications, postoperative recovery fast, high quality of life, simple operation, etc., is an ideal hysterectomy type, is worthy of clinical promotion and application.