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目的探讨经阴道筋膜内全子宫切除术的临床实用价值。方法选择经阴道筋膜内全子宫切除术组49例为研究组,传统阴式子宫切除术组45例为对照组,通过回顾性研究,观察比较两组的手术时间,出血量,术后疼痛,发热率,肛门排气时间,住院时间,阴道断端息肉,术后性生活。结果研究组较对照组手术时间短(P<0.01)、术中出血量少(P<0.01)、术后疼痛、发热率低(P<0.01)、术后肛门排气时间早(P<0.01)、住院时间短(P<0.01),两组比较差异有统计学意义。术后1个月、3个月随访,阴道断端息肉发生率两组比较差异有统计学意义(P<0.01)、术后性生活不满意两组比较差异有统计学意义(P<0.01)。结论筋膜内子宫切除手术操作简便,组织损伤少,可防止宫颈残端癌,保持了盆底组织的完整性,术后恢复快,对性生活影响小,更符合微创技术的原则,是一种理想的子宫切除方法 ,值得在临床中广泛应用。
Objective To investigate the clinical value of total hysterectomy in transvaginal fascia. Methods 49 cases of transvaginal intrafascial total hysterectomy group were selected as the study group, 45 cases of the traditional vaginal hysterectomy group as the control group. Through retrospective study, the operation time, blood loss, postoperative pain , Fever, anal exhaust time, hospital stay, vaginal polyps, postoperative sex life. Results The study group had shorter operative time (P <0.01), less blood loss during operation (P <0.01), lower postoperative pain and fever rate (P <0.01), and shorter anal exhaust time (P <0.01) ), Shorter hospital stay (P <0.01), the difference between the two groups was statistically significant. The postoperative 1 month and 3 month follow-up showed that the incidence of polyp in the vagina was significantly different between the two groups (P <0.01), but unsatisfied with sexual life after surgery was statistically significant (P <0.01) . Conclusion Fascia hysterectomy operation is simple, less tissue damage, can prevent cervical stump cancer, to maintain the integrity of the pelvic floor tissue, rapid postoperative recovery, less impact on sexual life, more in line with the principle of minimally invasive technique is An ideal hysterectomy method, it is worth widely used in clinical.