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目的测量宫颈增大状态下输尿管与子宫颈间的水平距离。探讨宫颈增大状态下输尿管与子宫颈间的位置变化,以利于在腹式子宫切除术中预防输尿管的损伤。方法选择2004年3月至2004年7月喀什地区第一人民医院31例宫颈增大患者(A组)和同期30例非宫颈增大患者(B组)。手术前均行阴道检查及B超测量宫颈直径,手术中分别测量双侧输尿管内缘至同侧宫颈外缘的水平距离,进行统计学分析。结果A组输尿管与子宫颈间距离为(4.4±3.6)mm较B组(17.4±2.4)mm显著缩小。二组输尿管与子宫颈间距离比较差异非常显著(P<0.01),但与年龄、身高、体重无关。结论宫颈增大状态下输尿管与子宫颈间距离缩小。
Objective To measure the horizontal distance between the ureter and the cervix when the cervix is enlarged. To investigate the location of ureter and cervix under the state of cervical enlargement, in order to prevent ureteral injury in abdominal hysterectomy. Methods From March 2004 to July 2004, 31 cases of cervical enlargement in the First People ’s Hospital of Kashi Prefecture (group A) and 30 cases of non - cervical enlargement in the same period (group B). Vaginal examination and B-ultrasound before operation were used to measure the diameter of the cervix. The horizontal distance between the bilateral ureteral borderline and the ipsilateral cervical border was measured during operation, and statistical analysis was performed. Results The distance between ureter and cervix in group A was (4.4 ± 3.6) mm and significantly smaller than that in group B (17.4 ± 2.4) mm. The ureter and cervix distance between the two groups was significantly different (P <0.01), but not with age, height and weight. Conclusions The distance between the ureter and cervix decreases when the cervix is enlarged.