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目的 探讨腹式子宫颈锥切式子宫切除术的手术要点及临床应用价值。方法 随机对1 1 2例因各种良性妇科疾病需行子宫全切术治疗的患者 ,分别采用子宫颈锥切式子宫切除术和常规子宫切除术 ,并对患者进行术后 2月内、4月内复查及对 4月后性生活情况随访。结果 两种术式手术时间上差别无显著性 (P >0 .0 5)。术后出现阴道出血及并发残端炎性充血、息肉例数差别有显著性 (P <0 .0 5)。与术前性生活相比较 ,两术式术后夫妇性生活满意与否差别有显著性 (P <0 .0 1 )。结论 腹式子宫颈锥切式子宫切除术 ,在达到治疗目的的同时 ,解除了患者因失去宫颈对生活质量造成心理、生理上的不良影响
Objective To investigate the surgical points and clinical value of abdominal cervical conization hysterectomy. Methods A total of 112 cases of patients undergoing hysterectomy due to various benign gynecological diseases were randomly divided into conization of cervical conization and conventional hysterectomy and the patients were treated within 4 months Month review and follow-up of sexual life after April. Results There was no significant difference in operative time between the two surgical procedures (P> 0.05). Postoperative vaginal bleeding and residual stump inflammatory hyperemia, the number of cases of polyp difference was significant (P <0. 05). Compared with the preoperative sex life, the difference between two groups of postoperative sexual satisfaction of the couple was significant (P <0.01). Conclusion Abdominal cervical conization hysterectomy, in achieving the purpose of treatment at the same time, the lifting of the patient due to the loss of the cervix on the quality of life caused by psychological, physiological adverse effects