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目的探讨传统筋膜外子宫全切和新式筋膜内子宫全切两种手术病率对患者术后生活质量的影响。方法对2011年6月至2013年6月鹿邑县人民医院手术病历进行分析。结果两种手术方式术中出血及术后并发症比例为3.7%、28%。两种手术方式平均手术时间、出血量、术后并发症等比较差异有统计学意义(P﹤0.01)。结论新式筋膜内子宫全切手术时间短、创伤小、出血少、术后恢复快、术后阴道无明显变短,可提高生活质量。
Objective To investigate the effects of total external fascial hysterectomy and new fascia intrauterine hysterectomy on postoperative quality of life. Methods From June 2011 to June 2013, Luyi County People’s Hospital surgical records were analyzed. Results The intraoperative bleeding and postoperative complications in the two methods were 3.7% and 28% respectively. The average operation time, bleeding volume and postoperative complications of the two methods were significantly different (P <0.01). Conclusion The new intrafascial hysterectomy with short hysterectomy surgery, less trauma, less bleeding, rapid recovery after surgery, no significant shortening of the vagina can improve quality of life.