经腹筋膜内全子宫切除术临床效果分析  

Evaluation of the efficacy of intrafascial abdominal hysterectomy

作　　者：蒋苹[1] 许红[1] 王中弥[1] 申彦杰[1] 彭小薇[1] 冯子豪[1] 

机构地区：[1]昆明市第一人民医院妇科,650011

出　　处：《中国实用医药》2011年第15期38-39,共2页China Practical Medicine

摘　　要：目的比较筋膜内全子宫切除术与筋膜外全子宫切除术的方法和效果。方法选择筋膜内子宫切除术组76例为研究组,筋膜外全子宫切除术76例为对照组,通过回顾性研究,比较两组平均手术时间、出血量、术后病率、通气时间、阴道残端感染、术后慢性腹痛、术后性生活。结果两组平均手术时间、出血量、术后病率、通气时间、阴道残端感染、术后慢性腹痛比较差异无统计学意义(P>0.05)。术后性生活,两者比较差异有统计学意义(P<0.05)。结论筋膜内全子宫切除术和筋膜外子宫切除术都可作为子宫良性疾病的治疗方法,与筋膜外全子宫切除相比,筋膜内子宫切除术可能提高术后的生活质量。Objective To campare the methodandresult following intrafascial andextrafascial abdominal hysterectomies.Methods Women scheduled for total abdominal hysterectomy were randomized to the intrafascial（n = 76,research group） and the extrafascial techniques（n = 76,control group）.The operative time,the mean blood,postoperative morbidity,time to first flatus,operative vaginal infection,postoperative bellyache and satisfaction of sex were recruited for a retrospective cohort study.To Evaluated the effect of the intrafascial and extrafascial abdominal hysterectomies.Results The quality and satisfaction of sex has statistically significant（P 0.05）,the others had no statistically significant（P 0.05）.Conclusion We could select one kind of method of the intrafascial and extrafascial abdominal hysterectomies to solve the benign disease of uterus,relatively intrafasial hysterectomy maybe improve patient＇s quality of life.

关 键 词：筋膜内全子宫切除术 筋膜外全子宫切除术 术后并发症 

分 类 号：R737.33[医药卫生—肿瘤]