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目的 :改进传统的子宫全切 ,保障受术者健康 ,提供其生活质量。方法 :对 10 8例有子宫全切指征的病人实行筋膜下脱袖式子宫全切术 ,采取从子宫AV血管结扎线结上宫颈肌层上方锐性剥下宫颈筋膜 ,至宫颈外口平面环行切开 ,切除子宫及颈管腺体。结果 :本术式与传统术式相比 :手术时间明显缩短 ,出血少 ,损伤小 ,病人恢复快。结论 :凡有子宫全切指征的良性病例均可采用本术式 ,除有上述优点外 ,术中由于子宫骶骨韧带和主韧带未受损伤 ,不影响对盆腔脏器的支持和承托能力 ,且阴道穹窿结构完整
Objective: To improve the traditional uterus cut to ensure the health of the surgeon to provide the quality of life. Methods: A total of 108 cases of hysterectomy patients underwent sub-total fasciotomy hysterectomy hysterectomy taken from the uterine AV blood vessels ligation of the cervical myometrium sharp rupture above the cervical fascia to the outside of the cervix Mouth plane cut open, removal of the uterus and neck glands. Results: Compared with the traditional procedure, the operation time was significantly shortened, less bleeding, less damage and faster recovery of the patient. Conclusion: All cases of hysterectomy indications benign cases can be used in this technique, in addition to the above advantages, intraoperative as the uterus sacral ligament and the main ligament is not damaged, does not affect the support and pelvic organ support capacity , And vaginal vault structure integrity