本文選題：子宮脫垂　切入點：陰式子宮切除術　出處：《中國微創(chuàng)外科雜志》2017年05期

【摘要】：目的探討生物補片聯(lián)合陰式全子宮切除術+陰道前后壁修補術治療子宮脫垂的臨床效果。方法回顧性分析2010年1月~2015年5月我院106例子宮脫垂行陰式全子宮切除術+陰道前后壁修補術,其中聯(lián)合生物補片治療75例(實驗組),單純手術31例(對照組),比較2組手術時間、術中出血量、術后排氣時間、術后住院時間和術后療效。結(jié)果 2組手術均順利完成,對照組和實驗組手術時間分別(91.4±3.4)、(95.1±10.2)min,無統(tǒng)計學差異(t=-1.970,P=0.051);出血量分別(34.5±7.3)、(32.1±4.9)ml,無統(tǒng)計學差異(t=1.973,P=0.051);術后排氣時間分別(29.2±4.8)、(30.2±5.3)d,無統(tǒng)計學差異(t=-0.907,P=0.366);術后住院時間分別(6.1±1.5)、(6.0±1.4)d,無統(tǒng)計學差異(t=0.328,P=0.744)。術后1年實驗組治愈74例,好轉(zhuǎn)1例,無復發(fā),對照組治愈27例,好轉(zhuǎn)1例,復發(fā)3例,實驗組癥狀改善有效率明顯高于對照組(Z=-2.571,P=0.010)。結(jié)論子宮脫垂患者如無需保留子宮,在無禁忌的情況下首選生物補片聯(lián)合陰式子宮切除+陰道前后壁修補術,療效好,復發(fā)率低。
[Abstract]:Objective to investigate the clinical effect of biological patch combined with vaginal anterior and posterior wall repair for uterine prolapse. Methods 106 cases of vaginal hysterectomy with uterine prolapse from January 2010 to May 2015 in our hospital were retrospectively analyzed. Repair of anterior and posterior wall of vagina, Among them, 75 cases were treated with biologic patch (experimental group) and 31 cases (control group). The operation time, blood loss, postoperative exhaust time, postoperative hospitalization time and postoperative curative effect were compared between the two groups. Results the operation was completed successfully in both groups. The operative time of the control group and the experimental group were 91.4 鹵3.4 鹵10.2min, respectively, and there was no statistical difference between the two groups (t = -1.970, P = 0.051), and the amount of bleeding was 34.5 鹵7.3n / g, 32.1 鹵4.931 鹵4.971, respectively, and the postoperative time of exhaust was 29.2 鹵4.8m ~ (30.2 鹵5.3d), with no statistical difference (t = -0.907P = 0.366n); the postoperative hospitalization time was 6.1 鹵1.5 鹵1.4d, respectively, and there was no significant difference between the two groups (t = 0.328P = 0.328P = 0.744) 1 year after operation. 74 cases were cured in the experimental group. 1 case improved without recurrence, 27 cases were cured in control group, 1 case was improved and 3 cases recurred. The effective rate of symptom improvement in experimental group is obviously higher than that in control group. Conclusion the uterus is not needed in patients with uterine prolapse. In the case of no contraindication, the best choice is biological patch combined with vaginal anterior and posterior wall repair for vaginal hysterectomy, the curative effect is good and the recurrence rate is low.
【作者單位】： 南京醫(yī)科大學第二附屬醫(yī)院婦產(chǎn)科;
【分類號】：R713.4

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本文編號：1699398