【摘要】 目的 探讨腹部小切口筋膜内子宫切除术的优越性，寻找临床上安全性大、创伤小的手术方式。方法 对69例患良性子宫病变患者行腹部小切口筋膜内子宫切除术，同期随机选择50例类似病人采用传统的腹部横切口全子宫切除术作为对照。结果 两组在手术时间、出血量以及术后恢复时间方面差异有显著性。结论 腹部小切口筋膜内子宫切除术具有组织损伤小、出血少、手术时间短、病人恢复快等优点，较传统的腹部横切口全子宫切除术有明显的优越性。

    【关键词】 筋膜内子宫切除术；微创；腹部切口

    Analysis of 69 cases underwent mini-laparotomy transfascial hysterectomy

    GU Ke,LIU Sui,XU Ning,et al.

    Department of Obstetrics and Gynecology,The Affiliated Donghua Hospital of Sun-Yat-Sen University,Dongguan 523110,China

    【Abstract】 Objective To investigate the advantages of mini-laparotomy intrafascial hysterectomy and explore a safe and mini-invasive operation procedure.Methods Mini-laparotomy intrafascial hysterectomy were adapted to 69 cases of benign uterus diseases while traditional transverse abdominal hysterectomy were adapted in other 50 cases of benign uterus disease selected at random as control group.Results Significant differences were found in the respects of operation time,blood loss and recovery time between the two groups.Conclusion Compared to the traditional transverse abdominal hysterectomy,mini-laparotomy intrafasical hysterectomy has the advantages in the respect of mini-invasion,less blood loss,less operation time and recovery time. ......