摘要
目的 探讨剔除子宫颈内层手术对生理机能的影响。方法 回顾性分析1996年1月~1997年12月在我院妇科96例接受该术式与同期100例传统子宫切除术式。结果 (1)两种术式的阴道分泌物多少无显苫差异(P>0.05);(2)阴道前后壁膨出的有无及腰骶部及下腹部不适感的发生率有显著性(P<0.01);(3)新术式残留宫颈唇愈合好,阴道仍保持原有深度及宽度;(4)新术式后患者性生活满意率达99%,而传统术式有70%术后性生活质量有所下降。结论 新术式可避免传统术形成的阴道前后壁膨出,腰骶部及下腹部不适,在不改变盆底解剖的基础上不影响生理机能。
Objective To evaluate the effect of reformed hysterectomy on physiological function. Methods From Jan 1996 to Dec 1997,Reformed hysterectmy group (96 cases) was compared with traditional hysterectomy group (100 cases) in five aspects. Results Reformed hysterectomy didn't reduce the vaginal excretion. but this new operative method could avoid vaginal wall's protrusion, and discomfort of the lower abdomen. Conclusion Reformed hysterectomy maintained the physiological function.