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目的 :探讨Joel Cohen切口子宫切除术的临床价值。方法 :于下腹部两髂前上棘连线下 2～ 3cm处做横行直切口 (即Joel Cohen切口 ) ,钝形分离脂肪层及腹直肌 ,纵向撕开腹膜 ,1～ 0华利康合成线连续缝合阴道残端 ,不缝合腹膜 ,1～ 0华利康合成线连续缝合筋膜 ,4号丝线间断缝合皮肤及皮下脂肪 3针。并与传统子宫切除术进行比较。结果 :Joel Co hen切口子宫切除术 ,手术时间短 ,术中出血量少 ,术后排气时间短 ,疼痛轻 ,术后发病率低 ,与对照组比较差异有显著性 (P<0 .0 5 )。结论 :Joel Cohen切口子宫切除术手术时间短 ,术后并发症少 ,住院时间短 ,值得临床推广使用
Objective: To investigate the clinical value of Joel Cohen incision hysterectomy. Methods: The transverse incision (Joel Cohen incision) was performed at 2 ~ 3cm under the anterior superior iliac spine of the lower abdomen. The fat layer and the rectus abdominis were blunt dissected, the peritoneum was longitudinally ripped, Continuous stitching vaginal stump, do not suture the peritoneum, 1 ~ 0 Hurricane line of continuous suture fascia, suture intermittent on the 4th line of skin and subcutaneous fat 3-pin. And compared with the traditional hysterectomy. Results: Joel Cohen incision hysterectomy, operation time is short, less blood loss, short after the exhaust time, pain, postoperative morbidity is low, compared with the control group, the difference was significant (P <0. 0 5). Conclusion: Joel Cohen incision hysterectomy operation time is short, less postoperative complications, shorter hospital stay, worthy of clinical promotion