子宫全切术是妇科的一种常见手术,传统上分为子宫全切术和子宫次全切除术。鞘内子宫全切术,能防止宫颈残端癌的发生,保持阴道完整性,保持盆底及部分宫颈。我院妇产科于1999年1月～2000年12月共做鞘内子宫全切术77例(A组),同期行传统子宫全切术89例(B组),现将其手术时间、出血量及手术后伤口愈合情况、术后并发症作一对比分析。 1 资料与方法 1.1 病例选择:子宫肌瘤、功能失调性了宫出血、子宫腺肌瘤等有子宫切除指征,宫颈光滑或轻度糜烂,无恶变者行鞘内子宫全切术。 1.2 术前准备:常规肠道、阴道准备,宫颈刮片细胞学检查、功能性子宫出血患者均在术前行诊刮送病 Hysterectomy is a common gynecological surgery, traditionally divided into hysterectomy and subtotal hysterectomy. Intrathecal hysterectomy, to prevent the occurrence of cervical stump cancer, maintain vaginal integrity, and to maintain the pelvic floor and part of the cervix. Obstetrics and Gynecology in our hospital from January 1999 to December 2000 a total of 77 cases of intrathecal hysterectomy (A group), the same period conventional hysterectomy in 89 cases (B group), now the operation time, Bleeding and wound healing after surgery, postoperative complications for a comparative analysis. 1 Materials and Methods 1.1 Case Selection: uterine fibroids, dysfunctional uterine bleeding, uterine adenomyosis and other indications for hysterectomy, cervical smooth or mild erosion, no malignant transformation of the line underwent total hysterectomy hysterectomy. 1.2 preoperative preparation: conventional gut, vaginal preparation, cervical smear cytology, functional uterine bleeding in patients with preoperative curettage