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子宫切除与阴道修补术治疗子宫脱垂伴阴道前后壁膨出的疗效

Effect of hysterectomy combined with vaginal repairment treatment on uterine prolapse compli-cated with anterior and posterior vaginal wall prolapse

摘要目的:观察子宫切除与阴道修补术治疗子宫脱垂伴阴道前后壁膨出的临床疗效。方法选取自2010年以来收治的子宫脱垂伴阴道前后壁膨出患者52例,其中26例患者接受子宫切除与阴道修补术治疗,为实验组;另外26例患者接受阴道部分闭合术治疗,为对照组。对两组手术时间、手术失血量、术后住院时间和术后并发症的情况进行对比分析。结果实验组手术时间、手术失血量和术后住院时间均优于对照组,且实验组术后并发症发生率更低,差异均有统计学意义(P﹤0.05)。结论子宫切除与阴道修补术治疗子宫脱垂伴阴道前后壁膨出,其手术时间更短、出血更少、住院时间更短、并发症少,临床疗效更好,可减少患者生理上的痛苦,是目前治疗该疾病的较佳手术方法,值得在临床上进一步推广应用。

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abstractsObjective To observe the clinical effects of hysterectomy and vaginal repairment on uterine prolapse complicated with anterior and posterior vaginal wall prolapse. Methods Fifty-two pa-tients with uterine prolapse complicated with anterior and posterior vaginal wall prolapse were chose from 2010 ,including 26 patients underwent hysterectomy and vaginal repairment surgery in the experimental group,and 26 patients received partial colpocleisis treatment in the control group. The time-consuming of operation,blood loss,postoperative hospital stay and postoperative complications of the two groups were compared and analyzed. Results The operation time,operation blood loss and postoperative hospi-talization time were shorter in the experimental group than those in the control group,and the inci-dence of postoperative complications was lower in the experimental group than that in the control group,the differences were significant(P﹤0. 05). Conclusions Hysterectomy and vaginal repair-ment in the treatment of uterine prolapse complicated with anterior and posterior vaginal wall pro-lapse,has short operation time,less bleeding,short hospitalization time,less complications,better clinical efficacy,and can relieve the physical pain of patients,so is a good operation method,and it is worth to be popularized in clinics.

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