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目的探讨改良式筋膜内子宫全切术的临床效果。方法对2000年以来所做改良式筋膜内子宫全切术40例进行回顾分析,与同期传统子宫全切术40例进行比较。结果该术式手术时间明显短于传统组(P<0.05),出血量明显减少(P<0.05),术后病率降低,术后恢复快,肠排气时间缩短(P<0.05),术后性生活不受影响。结论改良筋膜内子宫全切术其术式既能达到全子宫切除之目的,又能兼有一些次全子宫切除之优点,术后并发症减少,保持了盆腔张力,切除宫颈内膜移行区,消除残端癌之顾虑、术后性生活无影响,并防止阴道及脏器脱垂,有利于保持直肠、膀胱的正常功能,是一种实用易行的手术,值得推广。
Objective To investigate the clinical effect of modified fascia hysterectomy. Methods A retrospective analysis of 40 cases of modified fascia hysterectomy since 2000 was performed, compared with 40 cases of conventional hysterectomy. Results The operative time was significantly shorter than that of the traditional group (P <0.05), the amount of bleeding was significantly reduced (P <0.05), the postoperative morbidity was reduced, the postoperative recovery was faster and the time of intestinal excretion shortened (P <0.05) After sex life is not affected. Conclusion The modified fascia intraoperative total hysterectomy surgery can achieve the purpose of hysterectomy, but also have some advantages of subtotal hysterectomy, reduce postoperative complications, maintain pelvic tension, removal of the endometrial transitional zone , To eliminate the concerns of stump cancer, postoperative sex life has no effect, and prevent vaginal and organ prolapse, is conducive to maintaining the normal function of the rectum and bladder, is a practical and easy operation, it is worth promoting.