阴道旁修补联合自体组织反桥式修补术治疗阴道前壁膨出

摘要

Objective To compare the clinical effect of vaginal paravaginal repair ( VPVR) combined with autologous tissue contra-bridge-like repair and traditional vaginal anterior wall repair in treatment of anterior vaginal prolapse .Methods The clinical data of 48 patients who suffering from anterior vaginal prolapse were analyzed retrospectively , included 24 patients treated by traditional vaginal anterior wall repair ( control group ) and 24 patients treated by VPVR combined with autologous tissue contra-bridge-like repair ( research group ) .The intraoperative blood loss , operation time , postoperative complications and satisfaction degree of life quality were compared between two groups.Results No statistical differences were observed between two groups in terms of operation time and amount of blood loss ( t value was 0.84 and 0.70, respectively, both P>0.05).The improvement of life quality and the length of vaginal cuff at 12 months after surgery in the research group were significantly better than the control group (t value was 4.46 and 3.57, respectively, both P<0.05), and the recurrence rate was significantly lower than the control group (χ2 =6.86, P<0.05).Conclusion VPVR combined with autologous tissue contra-bridge-like repair is simple and feasible with advantages of better curative effect and lower recurrence rate in the treatment of anterior vaginal prolapse .%目的：比较阴道旁修补联合自体组织“反桥式”修补术与传统阴道前壁修补术治疗阴道前壁膨出的临床效果。方法回顾性分析阴道前壁膨出患者48例的临床资料，其中24例行传统阴道前壁修补术（对照组），24例行阴道旁修补术联合自体组织“反桥式”修补术（研究组），对比两组术中出血量、手术时间、手术并发症及术后生命质量满意度。结果两组的术中出血量和手术时间均无显著性差异（t值分别为0．84、0．70，均P＞0．05）。研究组术后12个月患者生命质量改善情况和阴道长度显著优于对照组（t值分别为4．46、3．57，均P＜0．05），且术后复发率显著低于对照组（χ2＝6．86，P＜0．05）。结论阴道旁修补联合自体组织反桥式修补术具有简单易行、效果肯定、不易复发、提高患者生活质量等优点，是治疗阴道前壁膨出一种安全有效的手术方法。