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目的 探讨剔除子宫颈内层手术对生理机能的影响。方法 回顾性分析1996年1月~1997年12月在我院妇科96例接受该术式与同期100例传统子宫切除术式。结果 (1)两种术式的阴道分泌物多少无显苫差异(P>0.05);(2)阴道前后壁膨出的有无及腰骶部及下腹部不适感的发生率有显著性(P<0.01);(3)新术式残留宫颈唇愈合好,阴道仍保持原有深度及宽度;(4)新术式后患者性生活满意率达99%,而传统术式有70%术后性生活质量有所下降。结论 新术式可避免传统术形成的阴道前后壁膨出,腰骶部及下腹部不适,在不改变盆底解剖的基础上不影响生理机能。
Objective To explore the effect of removing cervical intrauterine surgery on the physiological function. Methods A retrospective analysis of January 1996 ~ December 1997 in our hospital gynecological 96 cases accepted the operation and 100 cases of conventional hysterectomy. Results (1) There was no significant difference in vaginal secretions between the two surgical procedures (P> 0.05). (2) There was significant difference in the presence of vaginal anterior and posterior wall bulge and lumbosacral and lower abdominal discomfort (3) The new surgical residual cervical lip healing, vaginal remains the original depth and width; (4) after the new surgical patients satisfaction rate of 99%, compared with 70% of the traditional surgical procedures After the quality of sexual decline. Conclusion The new technique can avoid bulging anterior and posterior vaginal wall, lumbosacral and lower abdominal discomfort caused by traditional operation. It does not affect physiological function without changing pelvic floor anatomy.