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目的: 观察腹式筋膜内全子宫切除术治疗子宫良性病变患者的临床疗效,寻找一种更安全、简捷的术式。方法: 102例子宫良性病变患者(实验组),采取筋膜内电刀旋切全子宫术,100 例(对照组),采取筋膜外全子宫切除术。记录手术时间、术中出血量、术后排气时间、术后住院天数及随访情况。结果: 实验组的术中出血量明显少于对照组(P<0.01),术后排气时间及住院天数明显短于对照组(P<0.01)。实验组术中直肠陷凹病变率明显高于对照组(P<0.005)。结论: 筋膜内电刀旋切全子宫术优于传统术式,对有子宫切除指征而无恶性倾向的患者,尤其是直肠陷凹有病变及有手术史的患者,筋膜内电刀旋切全子宫术可作为一种更安全、更简捷的全子宫切除术术式。
Objective: To observe the clinical efficacy of intra-abdominal total hysterectomy in the treatment of patients with benign uterine lesions, looking for a safer, simple operation. Methods: 102 patients with benign uterine lesions (experimental group) were treated with intrafascial electrosurgical excision of total hysterectomy and 100 patients (control group) underwent total fascia hysterectomy. Record operation time, intraoperative blood loss, postoperative exhaust time, postoperative hospital days and follow-up. Results: The bleeding volume in the experimental group was significantly less than that in the control group (P <0.01). The postoperative exhaust time and hospitalization days were significantly shorter than those in the control group (P <0.01). The incidence of rectal pouch in the experimental group was significantly higher than that in the control group (P <0.005). Conclusion: Fascia intra-fascus electrosurgical excision of hysterectomy is better than the traditional surgical procedures. For patients with indication of hysterectomy without malignant tendency, especially those with lesions in the rectum and history of surgery, intrafascial electric knife Rotary hysterectomy can be used as a safer, more simple hysterectomy.