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为了提高子宫切除术的安全性和改善手术效果,我们对有子宫切除适应证的患者施行筋膜下子宫全切除术,效果满意,报告如下。1资料与方法1.1一般资料施行筋膜下子宫全切除术53例(观察组),年龄34-62岁。其中子宫肌瘤17例,子宫腺肌瘤13例,子宫内膜异位症12例,更年期功血11例;子宫大小正常18例,孕8-10周大13例,孕12～20周大22例。同期常规子宫全切术32例(对照组),年龄36～64岁。其中子宫肌瘤13例,子宫腺肌瘤9例,子宫内膜异位症5例,更年期功血5例;子宫大小正常8例,孕8-10周大12例,孕12～20周大12例。两组年龄、病种、子宫大小、盆腔粘连方面基本相似。术前均无明显心、肺、肝、肾疾病,两组无明显差异(P>0.05),具有可比性。
In order to improve the safety of hysterectomy and improve the surgical effect, we have hysterectomy indications of patients underwent subfascial hysterectomy with satisfactory results, the report is as follows. 1 Materials and Methods 1.1 General Information Subfascial hysterectomy 53 cases (observation group), aged 34-62 years. Including 17 cases of uterine fibroids, 13 cases of adenomyosis, 12 cases of endometriosis, 11 cases of menopausal dysfunctional uterine bleeding; 18 cases of normal uterine size, 13 weeks pregnant 8-10 weeks, pregnant 12 to 20 weeks 22 cases. During the same period conventional hysterectomy in 32 cases (control group), aged 36 to 64 years. Including 13 cases of uterine fibroids, 9 cases of adenomyoma, 5 cases of endometriosis, 5 cases of menopausal dysfunctional uterine bleeding; 8 cases of normal uterine size, 12 weeks pregnant 8-10 weeks, 12 to 20 weeks pregnant large 12 cases. Two groups of age, disease, uterine size, pelvic adhesions are basically similar. There was no significant heart, lung, liver and kidney disease before operation, no significant difference between the two groups (P> 0.05), comparable.