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我院自1997年10月至1998年3月,采用腹膜外子宫切除术36例,取得良好效果,现总结如下:1.临床资料1.1 36例患者中,子宫肌瘤29例,功血6例,年龄最大57岁,最小36岁,子宫最大约孕12周。1.2 手术方法 常规术前准备,连续硬膜外麻醉,采用筋膜内游离膀胱法。1.2.1 术者于病人右侧,取耻骨联合上两横指横行切开腹壁约10cm,纵行切开腹直肌前鞘,钝性分离腹直肌达腹膜外。1.2.2 钝性分离腹膜外脂肪,显露膀胱顶,于膀胱顶下0.5cm处,横行剪开膀胱前筋膜,向左延长达膀胱侧缘下3cm,向右延长达膀胱侧缘。
Our hospital from October 1997 to March 1998, the use of extraperitoneal hysterectomy in 36 cases, achieved good results, are summarized as follows: 1. Clinical data 1.1 36 cases of patients with uterine fibroids in 29 cases, 6 cases of dysfunctional uterine bleeding , The oldest 57 years old, minimum 36 years old, the maximum pregnancy about 12 weeks. 1.2 surgical methods conventional preoperative preparation, continuous epidural anesthesia, the use of fascia free bladder method. 1.2.1 surgeon on the right side of the patient, take the pubic symphysis on both transverse transverse incision abdominal about 10cm, longitudinal incision rectus sheath, blunt dissection of the rectus abdominis extraperitoneal. 1.2.2 blunt dissection of extraperitoneal fat, showing the top of the bladder, 0.5cm at the top of the bladder, transverse cut the anterior bladder fascia, extended to the left side of the bladder margin 3cm, extend to the right side of the bladder edge.