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目的：了解改良式筋膜内子宫切除术的优点。方法：采用子宫体切除加宫颈圆柱状切除术（观察组）、经典型全子宫切除术（对照组），分别治疗２２例、４３例子宫肌瘤等良性病变，并相互比较。结果：①手术平均出血量观察组１３２８ｍＬ±３６３ｍＬ，对照组为１７４４ｍＬ±４６１ｍＬ，两者比较有显著差异（Ｐ＜００５）；②观察组平均手术时间比对照组缩短近２０分钟，术后病率观察组为９１％，对照组为１８６％，两者差异有显著性（Ｐ＜００５）；③观察组无１例并发症，对照组发生１例输尿管损伤。结论：改良式筋膜内子宫切除术是治疗子宫肌瘤等良性病变较理想术式。
Objectives: To understand the advantages of modified intrafascial hysterectomy. Methods: Benign lesions of 22 cases and 43 cases of uterine fibroids were treated with hysterectomy and cervical resection (observation group) and classic hysterectomy (control group) respectively, and compared with each other. Results: ① The mean operative blood loss was 1328 mL ± 363 mL in the observation group and 1744 mL ± 461 mL in the control group (P <005). ② The average operative time in the observation group was significantly higher than that in the control group Group shortened nearly 20 minutes, postoperative morbidity rate was observed in the observation group was 9 1%, 18.6% in the control group, the difference was significant (P <0 05); ③ observation group, no 1 case of complications, control One case of ureteral injury occurred. Conclusion: Modified intrafascial hysterectomy is the ideal surgical treatment of benign lesions such as uterine fibroids.