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我科1984年7月至1985年12月采用腹膜外子宫切除术式30例,与同期采用腹膜内子宫切除术之32例对比分析如下。 手术步骤 1.取下腹正中纵切口,横形剪开膀胱前筋膜与膀胱顶部分离,将膀胱向下剥离达阴道前壁下2cm处。2.在腹膜反折处横形切开4～6cm,示指伸入腹腔,将子宫连同附件牵出腹膜外使腹膜移向子宫后方,以盐水垫压住,肠管完全不被暴露。如子宫肿瘤过大,可将腹膜切口扩大或作“T”形切口。以后按子宫全切步骤进行。
Our department from July 1984 to December 1985 with an extraperitoneal hysterectomy type 30 cases, compared with the same period with intraperitoneal hysterectomy in 32 cases analyzed as follows. Surgical procedure 1. Remove the median longitudinal incision in the abdomen and cut off the front fascia of the bladder to separate from the top of the bladder. The bladder is stripped down to 2 cm below the anterior vaginal wall. 2. Abdominal peritoneal fold transverse incision 4 ~ 6cm, the index finger into the abdominal cavity, the uterus with attachment pull out the peritoneum to the peritoneum to the rear of the uterus, with saline pad to suppress the bowel completely not exposed. Such as uterine cancer is too large, peritoneal incision can be expanded or as “T” shaped incision. After hysterectomy step by step.