论文部分内容阅读
目的:探讨经阴道三角形筋膜内子宫切除的可行性。方法:将因患子宫肌瘤需切除子宫的病人分为4组:经阴道三角形筋膜内子宫切除术、经腹三角形筋膜内子宫切除术、经阴道全子宫切除术、经腹全子宫切除术,每组各5例共20例。结果:四种术式进行比较后发现,在手术时间、困难程度、出血量各指标方面无明显统计学差异(P>0.05),血清FSH、LH、E2水平术前4组间相比较均无明显统计学差异(P>0.05),术后经阴道及经腹全子宫切除术组与术前相比较有明显变化,统计学差异显著(P<0.05),经阴道及经腹三角形筋膜内子宫切除与术前比较无明显统计学差异(P>0.05)。结论:三角形筋膜内子宫切除术对卵巢激素水平变化影响小,经阴道三角形筋膜内子宫切除术不增加手术难度,适于在基层医院推广。
Objective: To investigate the feasibility of hysterectomy in transvaginal triangle fascia. Methods: The patients with uterine fibroids due to hysterectomy were divided into 4 groups: transvaginal fascia intrafascial hysterectomy, abdominal fascia intrafascial hysterectomy, transvaginal hysterectomy, abdominal total hysterectomy Surgery, each group of 5 cases a total of 20 cases. Results: There was no significant difference in the indexes of operation time, degree of difficulty and amount of bleeding between the four kinds of operation (P> 0.05). There was no significant difference in the serum levels of FSH, LH and E2 between the four groups (P> 0.05). There were significant differences between the transvaginal and transabdominal hysterectomy groups after operation (P <0.05). The transvaginal and transabdominal triangular fascia Hysterectomy and preoperative no significant difference (P> 0.05). CONCLUSION: Intra-fascia intrafascial hysterectomy has little effect on the changes of ovarian hormone levels. Transvaginal fascia intrafascial hysterectomy does not increase the surgical difficulty and is suitable for promotion in primary hospitals.