改良阴式全子宫切除及前后壁修补术的临床探讨

摘要

Objective:To discuss the improved vaginal hysterectomy and anterior and posterior wall repair surgical approach and its clinical application value of pelvic organ prolapse.Method:The clinical data of 235 patients with uterine prolapse anterior and posterior prolapse who were treated with surgical therapy in our hospital from January 2008 to January 2013 were selected as research objects,they were randomly divided into the traditional group for 125 cases and the improved group for 110 cases,the traditional group was treated with the traditional vaginal hysterectomy and anterior and posterior wall repair surgery,the improved group was treated with the improved vaginal hysterectomy and anterior and posterior wall repair surgery.The clinical efficacy,operative time,hospital stay,recurrence rate and incidence of complications after treatment between the two groups were observed and compared.Result:The operative time and hospital stay of the improved group were significantly shorter than the traditional group,the incidence of complications and recurrence rate of the improved group were significantly lower than the traditional group,the differences were statistically significant(P<0.05).After surgery,the cure rate and total effective rate of the improved group were significantly higher than the traditional group,the differences were statistically significant(P<0.05).Conclusion:Improved vaginal hysterectomy and and anterior and posterior wall repair of pelvic organ prolapse has satisfactory curative effect,with a minimally invasive,safe,rapid postoperative recovery characteristics,lower recurrence rate and incidence of postoperative complications,worthy of further promotion.%目的：探讨改良阴式全子宫切除及前后壁修补术的术式及其在盆腔器官脱垂中的临床应用价值。方法：选取2008年1月-2013年1月在本院妇科行手术治疗的235例子宫脱垂及前后壁膨出的患者作为研究对象，按照随机数字表法将其分为传统组125例和改良组110例，传统组采用传统阴式全子宫切除及前后壁修补术进行治疗，改良组采用阴式全子宫切除及阴道前后壁修补术进行治疗，观察比较两组的治疗效果、手术时间、住院时间、复发率及并发症发生情况的差异。结果：改良组的手术时间和住院时间均明显短于传统组，并发症发生率和复发率均明显低于传统组，且术后改良组的治愈率、总有效率均明显高于传统组，差异均有统计学意义（P<0.05）。结论：改良阴式全子宫切除及阴道前后壁修补术治疗盆腔脏器脱垂疗效较满意，具有微创、安全、术后恢复快的特点，复发率及术后并发症的发生率较低，值得在临床上进一步推广。