摘要
目的:探讨腹式筋膜内子宫切除术与传统全子宫切除术的临床比较。方法:2008-2013年收治行子宫切除术患者200例,其中筋膜内子宫切除术100例,传统腹式全子宫切除术100例,比较两组的手术效果。结果:筋膜内子宫切除术患者100例,术中均无严重并发症发生,加之手术步骤简化,术中手术操作时间短,术中出血量少,术后阴道出血,残端息肉,排便不适等不明显,性生活状况无明显改变。术后随访12~24个月,日常体力活动,夫妻生活,躯体感觉均无明显影响。传统腹式全子宫切除术组100例,其中膀胱损伤2例,输尿管损伤1例,术后亦随访12~24个月,术后阴道残端息肉2例,重体力活动明显受限,因缺乏盆底支撑,心理负担重,并发不同程度肛门坠胀及下腹部坠胀感,排便功能障碍,性生活满意度显著下降。结论:腹式筋膜内子宫切除术是新一代改良术式,该术式既简化了手术步骤,又保留了绝大部分盆底神经及血管,既治疗疾病,又不影响患者的生存质量,不失为一种值得推广的手术方式。
Objective:To explore the clinical effect of abdominal intrafascial hysterectomy traditional hysterectomy.Methods:200patients with hysterectomy were selected from 2008 to 2013.100 cases were given abdominal intrafascial hysterectomy,and 100 cases were given traditional hysterectomy.We compared two groups of operative effect.Results:In 100 cases with abdominal intrafascial hysterectomy,there were no serious complications in operaion;operation steps were simplified;the operation time was short;the amount of bleeding was less;after surgery,vaginal hemorrhage,stump polyps,defecation discomfort was not obvious,and sexual life condition was not obvious change.After operation,the patients were followed up for 12 to 24 months,there was no significant effect on daily physical activity,life of husband and wife and somatosensory.In 100 cases with traditional hysterectomy,2 cases had bladder injury;1 case had ureteral injury;after operation,patients were followed up for 12 to 24 months,2 cases had vaginal stump polyps;heavy physical activity was obviously limited,due to the lack of the pelvic floor support,heavy psychological burden,complicated with different degrees of anal bulge and the lower abdomen to drop bilge feeling,bowel dysfunction,and the sexual satisfaction was significantly decreased.Conclusion:Abdominal intrafascial hysterectomy is a new generation of modified operation.The operation can not only simplify the operation steps,but also retain most of pelvic nerve and blood vessel.It can not only treat the diseases,but also does not affect the life quality of the patients.It is a worthy of popularizing operation way.
出处
《中国社区医师》
2015年第4期40-41,共2页
Chinese Community Doctors
关键词
腹式筋膜内子宫切除术
传统全子宫切除术
临床比较
Abdominal intrafascial hysterectomy
The traditional hysterectomy
Clinical comparison
