目的 探讨桥式阴道壁修补术治疗妇女盆腔脏器脱垂的临床疗效.方法 26例盆腔脏器脱垂患者在本院进行全子宫切除术+阴道前后壁桥式修补术.对患者手术时间、手术中出血、手术后恢复、术后复发等情况进行临床分析,以探讨盆腔脏器脱垂的手术方式及手术安全性.结果 26例患者手术成功率100％；手术时间1.5～2.0 h；术中出血量50～150mL,术后平均住院时间(6.02±0.57)d；手术前后阴道长度无差异.术后随访平均2.5年,患者膨出的症状明显改善,无残端感染、尿漏、粪漏发生,无性交困难和复发.结论 自体组织“桥”式阴道前后壁修补术是治疗妇女盆腔脏器脱垂的一种有效的方法,具有安全、有效、微创、简便及经济等优点,值得临床推广运用.%Objective To investigate the clinical efficacy of bridge type vaginal wall in the treatment of pelvic organ prolapse. Methods Twenty - six patients with pelvic organ prolapse in our hospital were selected for hysterectomy plus vaginal anterior and posterior bridge repair. The surgery duration,blood loss,postoperative recovery,and postoperative recurrence were clinically analyzed to explore a mode for the pelvic organ prolapse surgery with more safety. Results The success rate of all 26 patients was 100% . Surgery duration was 1.5 to 2.0 h,intraopera/tiye blood loss was 50 to 150 mL,mean postoperative duration of hospital stay was (6.02 ± 0.57) d,and no difference in vaginal length before and after surgery was observed. The patients were followed up for an average of 2.5 years. Patients with bulging symptoms improved significantly with no incidence of stump infection,urine leakage,fecal leakage,dyspareunia and relapse. Conclusion Autologous tissue bridge repair of the vagina anterior and posterior wall is an effective method in the treatment of pelvic organ prolapse. It is safe,effective,minimally invasive and simple with lower costs. Thus it is worthy of clinical application.
展开▼
