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全子宫切除术

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Methods:The results of vaginal hysterectomy in 30 patients and ventral hysterectomy in 40 patients were compared and analyzed.

经阴式全子宫切除术30例,经腹式全子宫切除术40例,对比分析术中术后情况。

Objective: To investigate the clinical effects of vaginal hysterectomy for non-prolapsed uterus and ventral hysterectomy.

目的:探讨非脱垂子宫阴式全子宫切除术和腹式全子宫切除术的临床效果。

Methods Eighty cases with non-procident metra without malignant pathologic change were randomly divided into two group: the experimental group(n=40, treated with transvaginal total hysterectomy) and control group (n=40, treated with traditional abdominal incision total hysterectomy).

观察组施行经阴道全子宫切除术,对照组施行传统腹式子宫全切除术。结果观察组的手术时间短,术中出血量少,术后疼痛轻,术后最高体温降低,肛门排气时间早,住院时间短,与对照组比较,差异有显著性(P.05)。

Methods 57 cases of cesarean patient from January 1997 to January 2003 were divided into 3 groups and compared with 30 panhysterectomy without history of cesarean.

选择 1 997- 0 1~ 2 0 0 3- 0 1剖宫产术后行子宫切除术患者共 5 7例,分为 3组与同期无剖宫产手术史行全子宫切除术患者 30例进行比较。

Results: The total effective rate was 87.50%(28/32). After infusion embolotherapy, 12 cases underwent panhysterectomy and 15 cases radiotherapy. In 15 cases with radiotherapy, 7 cases then received panhysterectomy, 2 cases systemic chemotherapy, 1 case palliative therapy. 2 cases gave up therapy for various reasons. 21 cases with hemorrhage were hemostasis and 9 cases with inferior belly and lower limbs pain had all relieved after infusion embolotherapy.

结果:总有效率87.50%(28/32),灌注栓塞后12例行广泛性全子宫切除术,15例行放射治疗,2例作全身化疗,1例作姑息性治疗,2例因各种原因放弃继续治疗,其中放疗后7例再行广泛性全子宫切除术。21例伴出血患者灌注栓塞后全部停止出血,9例伴下腹及下肢疼痛症状全部缓解。

The damaging in gynecological urinary system during gynecological surgery occurs mainly in panhysterectomy and pelvic cavity clearing, also in oophorocystectomy.

妇科手术中泌尿系统损伤见于全子宫切除术和盆腔清扫术,亦见于卵巢囊肿切除术,与术者思想麻痹、缺乏良好心理素质、基本功不扎实、术中暴露不良、解剖变异及术中出血等有关,需从术、术中两方面着手预防。

The operation time, the volume of blood and rate of sickness afier operation among the group of transfixion on the parauteri, the group of freeing vessel and the group of associating perineum by laparoscope were compared.

回顾性分析23例腹腔镜下全子宫切除术中子宫静脉的处理方法、分析宫旁缝扎组与血管游离后处理组及腹腔镜联合阴式子宫切除组的手术时间、术中出血量及术后发病率。

Methods:The cardinal ligament and uterosacral ligament samples were obtained from 38 subjects undergoing hysterectomies,10 cases of severe obstetrics complications in third trimester pregnancy,14 cases of peirmenopausal women with relaxation of pelvic supports and 14 cases of peirmenopausal women had gyneco...

以10例妊娠晚期因产科严重并发症而行全子宫切除术者为晚孕组,14例行全子宫切除术为围绝经期盆底松弛组,14例无盆底松弛因妇科疾病而行全子宫切除术者为同龄对照组。

Methods We retrospectively reviewed the clinical data of 321 cases of laparoscopic hysterectomy, including 201 classic intrafascial supracervical hysterectomy, 24 laparoscopic supracervical hysterectomy, 51 laparoscopic assisted vaginal hysterectomy, and 45 total laparoscopic hysterectomy. We compared the time of operation, the blood loss during operation and the restitution after operation in four groups, About the time of operation, the two methohs of amputating cervix were significantly longer than the two methods of remaining cervix.

对321例腹腔镜子宫切除术进行回顾性分析,其中腹腔镜鞘膜内子宫切除术201例,腹腔镜次全子宫切除术24例,腹腔镜辅助阴式子宫切除术51例,腹腔镜全子宫切除术45例,比较4种子宫切除术式的手术时间,出血量,术后恢复的情况。

Methods 104 cases had laparoscopic diagnosis and CISH because of presence of myomas, adenomyosis,functional uterine bleeding or endometriosis.

在次全子宫切除基础上发展而来的CISH,保留了次全子宫切除术的优点,减少了解剖结构的破坏[1-3]。

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