保留子宫动脉上行支筋膜内子宫切除术64例临床分析  

Clinical analysis of 64 preserving the ascending uterine artery in intrafaseial hysterectomy

作　　者：周光远[1] 郭孝琴 牟华平 

机构地区：[1]四川省宜宾市第二人民医院妇科,644000

出　　处：《重庆医学》2009年第10期1219-1220,共2页Chongqing medicine

摘　　要：目的探讨保留子宫动脉上行支筋膜内子宫切除术临床应用价值。方法符合条件的64例患者,随机分成保留子宫动脉上行支筋膜内子宫切除术组和传统子宫切除术组,观察两组手术各项指标及手术对卵巢功能、性生活及大小便等情况的影响。结果两组手术时间、术中出血量差异无统计学意义(P>0.05)。研究组术后腰腹痛、泌尿系症状体征少,术后病率低,并发症少。术后性生活不受影响,手术前后性激素含量无明显变化,更年期综合征发生率低,较对照组有明显差异(P<0.05)。结论保留子宫动脉筋膜内子宫切除术对卵巢功能影响小,有利于提高妇女生活质量。Objective To investigate the clinical value of preserving the ascending uterine artery in intrafaseial hysterectomy. Methods 64 premenopausal women with benign uterine diseases indicated for hysterectomy were studied. 32 cases underwent in- trafaseial hysterectomy with ascending uterine atery （study group） ; 32 classical hysterectomy as control. The variables of operation and postoperation were studied and compared,especially the ovarian function and sexual activity. Results The operation time and bleeding volume were not significant different between the two groups （P〉0.05） ,The occurrence of pain in lumber and abdomen, symptoms of urinary system and other associated complicates were less in tested group than control（P〈0.05） ,The level of estrogen almost did not change postoperatively in the study group and there was hardly any patient showed perimenopausal signs （P〈 0.05）. Conclusion The intertheca hysterectomy has little influence on ovary function,which may improve the living quality of the patients.

关 键 词：子宫切除术 筋膜内 保留子宫动脉 卵巢功能 

分 类 号：R713.42[医药卫生—妇产科学]