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改良筋膜内、筋膜外全子宫切除术两种术式比较分析

The comparative analysis of two kinds of abdominal uterus total excision,the improvedinner tendon and outer tendon uterus total excision

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【作者】 张兰芳王岚

【Author】 ZHANG Lan-fang,WANG Lan.Department of Obstetrics and Gyne cology,Dabu People’s Hospital,Guangdong,514200,China

【机构】 广东大埔县人民医院妇产科广东大埔县人民医院妇产科 514200514200

【摘要】 目的比较经腹改良筋膜内、筋膜外全子宫切除术两种术式的临床效果。方法对有全子宫切除手术指征的125例患者分为改良筋膜内全子宫切除组(n=61)、筋膜外全子宫切除术组(n=64),就两种术式的手术时间、出血量、手术并发症、术后并发症进行对比分析。结果改良筋膜内全子宫切除术手术时间短于筋膜外全子宫切除术,两种术式的差异有显著意义,手术并发症和术后并发症有明显差异。结论改良筋膜内全子宫切除术是目前较好的经腹全子宫切除术式,缩短了手术时间,减少了手术及术后的并发症,提高了患者术后的生活质量。

【Abstract】 Objective To compare the clin ic performances of two kinds of the abdominal uterus total excision:the improved i nner tendon uterus total excision and outer tendon uterus total excision. Methods 125 patients who had the indication of uterus total excision had been operated on by the two methods:the improved inner tendon uterus total e xcision(n=61) and the outer tendon total excision(n =64).The time of operation,amount of bleeding,complications of operation an d complications after the operation had been compared and analyzed.Resul ts The operation time by the improved inner tendon uterus total excisio n was shorter than that by the outer tendon uterus total excision.The difference between the two methods was significant.The complications of operation and comp lications after were obviously different.Conclusion The improve d inner tendon uterus total excision is better at present.It shortens the time o f operation,reduces the complications after operation and improves the patients’ life.

【关键词】 子宫切除术随机对照试验
【Key words】 HysterectomyRandomized controlled trials
  • 【文献出处】 中国基层医药 ,Chinese Journal of Primary Medicine Pharmacy , 编辑部邮箱 ,2005年08期
  • 【分类号】R713
  • 【下载频次】120
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