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目的比较改良经腹筋膜内全子宫切除术与传统筋膜内全子宫切除术的术式及术后情况。方法将150例因子宫良性疾病需行全子宫切除术的患者随机分成2组:观察组75例采用改良筋膜内全子宫切除术,对照组75例采用传统筋膜内全子宫切除术。将2组术式及术后情况进行比较。结果观察组与对照组相比手术时间短(69.25±3.25)min vs(84.32±3.62)min,P<0.05),术中出血量少(96.60±4.27)ml vs(132.35±6.50)ml,P<0.05,术后排气时间短(18.43±1.12)h vs(24.58±3.39)h,P<0.05,术后发生尿潴留的可能小,术后性生活满意率高(95.38% vs 68.97%,P<0.05)。住院时间无明显差异。结论改良筋膜内全子宫切除术优于传统筋膜内全子宫切除术,值得临床推广。
Objective To compare the surgical procedures and postoperative outcomes of modified intrafascial hysterectomy with conventional fascia hysterectomy. Methods A total of 150 patients undergoing hysterectomy due to benign uterine disease were randomly divided into two groups: 75 cases in the observation group received modified hysterectomy and 75 cases in the control group received conventional hysterectomy. The two groups of surgery and postoperative conditions were compared. Results Compared with the control group, the operation time was shorter in the observation group (69.25 ± 3.25) min vs (84.32 ± 3.62) min, P <0.05), and the blood loss in the observation group was less (96.60 ± 4.27) ml vs (132.35 ± 6.50) ml (P0.05), the time of postoperative exhaust was shorter (18.43 ± 1.12) h vs (24.58 ± 3.39) h, P <0.05. The postoperative urinary retention was less likely and the rate of postoperative sexual satisfaction was higher (95.38% vs 68.97% P <0.05). There was no significant difference in hospitalization time. Conclusion The modified fascia hysterectomy is better than the traditional fascia hysterectomy, which is worthy of clinical promotion.