经腹小切口低位筋膜内全子宫切除术与传统子宫切除术比较  

Comparison of lower position intrafascial total hysterectomy with minimal abdominal incision and traditional abdominal hysterectomy

作　　者：辛峰[1] 武传中[1] 赵彦梅[1] 

机构地区：[1]聊城市第二人民医院妇科,山东省252601

出　　处：《中华实用诊断与治疗杂志》2009年第7期671-672,共2页Journal of Chinese Practical Diagnosis and Therapy

摘　　要：目的:探讨小切口低位筋膜内全子宫切除术的可行性。方法:100例子宫良性病变患者随机分为观察组和对照组各50例。观察组采取小切口低位筋膜内全子宫切除术式,切断子宫主、骶韧带,于子宫骶韧带水平剥离宫颈筋膜至宫颈外口;对照组采用传统方法行子宫切除术。结果:观察组切口长度、手术时间、术后排气时间以及术后住院时间与对照组比较均缩短,差异有统计学意义(P<0.01)。结论:小切口低位筋膜内全子宫切除术操作简单、安全,值得临床推广。Objective To explore the clinical value of lower position intrafascial total hysterectomy with minimal abdominal incision. Methods One hundred cases of benign uterine disease were randomly divided into study group and control group. The study group （n = 50） was performed modified intrafascial total hysterectomy. Every case accepted a small abodominal incision. Cardinal ligament and uterosacral ligament were disconnected. Thinner cervix fascia was stripped and reserved from uterosacral ligament level to external os of cervix. Control group （n = 50） accepted traditional abdominal hysterectomy. Results The length of incision, the operative time, exsufflation time and post operative in-hospital days were shorter in the study group than those in control group （P〈 0.01）. Conclusion Lower position intrafascial total hysterectomy with minimal abdominal incision should be spread in clinic for its advantages of safety and simplicity.

关 键 词：全子宫切除术 筋膜内 小切口 改良式 

分 类 号：R713.42[医药卫生—妇产科学]