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目的:探讨筋膜内全子宫切除手术的临床效果与应用价值。方法:选取宜州市人民医院2011年5月至2015年5月收治的良性子宫肿瘤患者280例,将其随机分为观察组与对照组各140例,其中观察组进行筋膜内全子宫切除手术,对照组进行传统全子宫切除术,比较两组患者的手术时间、术中出血量与术后血红蛋白水平,并比较两组患者术后2~6个月的随访情况。结果:两组患者手术时间比较,差异无统计学意义(P>0.05),观察组患者术中出血量少于对照组,术后血红蛋白水平高于对照组,差异具有统计学意义(P<0.05);观察组术后盆腔部不适、尿路感染、阴道残端息肉等发生率低于对照组,愈合情况、性生活满意度等高于对照组,差异具有统计学意义(P<0.05)。结论:在良性子宫肿瘤治疗中应用筋膜内子宫切除术的疗效显著。
Objective: To investigate the clinical effect and application value of total hysterectomy in fascia. Methods: Two hundred and eighty patients with benign uterine cancer who were treated in Yizhou People’s Hospital from May 2011 to May 2015 were selected and randomly divided into observation group and control group with 140 cases each. The observation group received total hysterectomy The patients in the control group were treated with conventional hysterectomy. The operation time, intraoperative blood loss and postoperative hemoglobin were compared between the two groups. The follow-up of 2 to 6 months after operation was compared between the two groups. Results: There was no significant difference in operation time between the two groups (P> 0.05). The bleeding volume in the observation group was less than that in the control group, and the postoperative hemoglobin level was higher than that in the control group (P <0.05) ). The incidence of postoperative pelvic discomfort, urinary tract infection and vaginal stump polyp in the observation group was lower than that of the control group. The healing and sexual satisfaction were higher in the observation group than in the control group (P <0.05). Conclusion: The effect of intrafascial hysterectomy in the treatment of benign uterine tumors is significant.