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我科1968年开展耻骨联合上小横切口绝育术已数百例,于1988年又开展了腹部较大的横切口子宫全切除术,现将所行33例报道如下:32例为子宫肌瘤、子宫肌腺瘤,1例为宫颈不典型增生,年龄32～55岁,子宫增大一般似40余天至2月左右妊娠子宫大小。手术操作步骤1.皮肤切口:于耻联上2～3cm自然皮纹处取耻联正中作弧形切口,一次完成切口长度,切口两端指向两肋,而不是两髂(骨脊),以利切口延长。刀柄略向足端倾斜,以执笔式持刀为好,可使切口脂肪上下均匀分开。2.切开筋膜:先在切口中点切透筋膜,然后分别向皮肤切口两端剪开至与皮肤切口等长,但筋膜
Our department in 1968 to carry out pubic symphysis on a small transverse incision sterilization has been hundreds of cases, in 1988 and carried out a large abdominal transverse incision hysterectomy, 33 cases are now reported as follows: 32 cases of uterine fibroids , Uterine muscle adenoma, 1 case of atypical hyperplasia of the cervix, aged 32 to 55 years old, the uterus increases generally like more than 40 days to about 2 months pregnant uterine size. Surgical procedures 1. Skin incision: shame on the 2 ~ 3cm natural dermatoglyphica at the center for the arc-shaped incision, a complete incision length, both ends of the incision point to the two ribs, rather than two iliac (ridges) to Lee incision extended. Slightly tilted to the foot end of the handle to pen-type knives as well, can make the fat evenly separated from top to bottom. 2. incision fascia: incision in the first cut through the fascia, and then cut to the skin incision at both ends to cut the same length with the skin, but the fascia