中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
4期
40-41
,共2页
腹式筋膜内子宫切除术%传统全子宫切除术%临床比较
腹式觔膜內子宮切除術%傳統全子宮切除術%臨床比較
복식근막내자궁절제술%전통전자궁절제술%림상비교
Abdominal intrafascial hysterectomy%The traditional hysterectomy%Clinical comparison
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。
目的：探討腹式觔膜內子宮切除術與傳統全子宮切除術的臨床比較。方法：2008-2013年收治行子宮切除術患者200例，其中觔膜內子宮切除術100例，傳統腹式全子宮切除術100例，比較兩組的手術效果。結果：觔膜內子宮切除術患者100例，術中均無嚴重併髮癥髮生，加之手術步驟簡化，術中手術操作時間短，術中齣血量少，術後陰道齣血，殘耑息肉，排便不適等不明顯，性生活狀況無明顯改變。術後隨訪12～24箇月，日常體力活動，伕妻生活，軀體感覺均無明顯影響。傳統腹式全子宮切除術組100例，其中膀胱損傷2例，輸尿管損傷1例，術後亦隨訪12～24箇月，術後陰道殘耑息肉2例，重體力活動明顯受限，因缺乏盆底支撐，心理負擔重，併髮不同程度肛門墜脹及下腹部墜脹感，排便功能障礙，性生活滿意度顯著下降。結論：腹式觔膜內子宮切除術是新一代改良術式，該術式既簡化瞭手術步驟，又保留瞭絕大部分盆底神經及血管，既治療疾病，又不影響患者的生存質量，不失為一種值得推廣的手術方式。
목적：탐토복식근막내자궁절제술여전통전자궁절제술적림상비교。방법：2008-2013년수치행자궁절제술환자200례，기중근막내자궁절제술100례，전통복식전자궁절제술100례，비교량조적수술효과。결과：근막내자궁절제술환자100례，술중균무엄중병발증발생，가지수술보취간화，술중수술조작시간단，술중출혈량소，술후음도출혈，잔단식육，배편불괄등불명현，성생활상황무명현개변。술후수방12～24개월，일상체력활동，부처생활，구체감각균무명현영향。전통복식전자궁절제술조100례，기중방광손상2례，수뇨관손상1례，술후역수방12～24개월，술후음도잔단식육2례，중체력활동명현수한，인결핍분저지탱，심리부담중，병발불동정도항문추창급하복부추창감，배편공능장애，성생활만의도현저하강。결론：복식근막내자궁절제술시신일대개량술식，해술식기간화료수술보취，우보류료절대부분분저신경급혈관，기치료질병，우불영향환자적생존질량，불실위일충치득추엄적수술방식。
Objective:To explore the clinical effect of abdominal intrafascial hysterectomy traditional hysterectomy.Methods:200 patients 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.
