腹式横切口改良筋膜内子宫切除术80例临床分析  

Clinical analysis of the abdomen-type horizontal margin improvement in-fascia womb excision method

作　　者：王绍兰[1] 

机构地区：[1]亳州市人民医院妇产科,安徽省亳州236800

出　　处：《中国基层医药》2006年第8期1311-1313,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨子宫良性病变实施腹式横切口改良筋膜内子宫切除术的可行性和安全性。方法将该院2002年10月至2004年10月收治的子宫良性病变患者,随机选择腹式横切口改良筋膜内子宫切除术80例为研究组,选择传统纵切口子宫切除术90例为对照组,两组患者年龄、病种、子宫大小及盆腔粘连等差异无统计学意义,分析手术时间、术中出血量、切口疼痛情况、术后排气时间、术后病率、术后住院时间及术后性生活情况等。结果研究组的术中出血量、切口疼痛、术后排气时间、术后病率均明显低于对照组(P＜0．05),且术后未发现阴道残端异常、阴道壁松弛或脱垂,性生活满意度明显优于对照组(P＜0．05)。结论对子宫良性病变实施腹式横切口改良筋膜内子宫切除术是安全、可行的。Objective To discuss the feasibility and the security of implementing the abodomen-type horizontal margin improvement in-fascia womb excision method to the womb benign pathological change. Methods Among the womb bening pathological change patients who were treated in our hospital from October 2000 to October 2004 80 examples were implemented the abdomen-type horizontal margin improvement in-fasica womb excision method as the research group and 90 examples were implemented the traditional vertical margin womb excision method as the comparison group. The patients＇ age,sickness type, the womb size and the pelvic cavity adhesion of the tub groups had no significant difference. The surgery time, the bleeding quantity in the course of the operation,the margin ache situation,the exhaust time and getting sick rate after the surgery,the exhaust time and getting sick rate after the surgery,the hospitalization time and sex life situation after the surgery, and so on were analyzed. Results The research group＇s bleeding quantity in the course of the operation, the margin ache, the exhaust time and getting sick rate after the operation were obviously lower than those of the comparison group（ P 〈 0. 05 ）, moneover, it was not found out that the vagina remnant end was exceptional, and the vagina wall was nelaxing or escaping or hanging, the degnce of satisfaction to the sex life obviously surpasses that of the comparison group（P 〈 0.05）. Conclusion The abdomen-type horizontal margin inprovement in-fascia womb excision method is safe and feasible to the womb benign pathological change.

关 键 词：子宫切除术 子宫疾病 

分 类 号：R713[医药卫生—妇产科学]