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

【摘要】：目的探討生物補(bǔ)片聯(lián)合陰式全子宮切除術(shù)+陰道前后壁修補(bǔ)術(shù)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(shù)+陰道前后壁修補(bǔ)術(shù),其中聯(lián)合生物補(bǔ)片治療75例(實(shí)驗(yàn)組),單純手術(shù)31例(對(duì)照組),比較2組手術(shù)時(shí)間、術(shù)中出血量、術(shù)后排氣時(shí)間、術(shù)后住院時(shí)間和術(shù)后療效。結(jié)果 2組手術(shù)均順利完成,對(duì)照組和實(shí)驗(yàn)組手術(shù)時(shí)間分別(91.4±3.4)、(95.1±10.2)min,無統(tǒng)計(jì)學(xué)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(jì)學(xué)差異(t=1.973,P=0.051);術(shù)后排氣時(shí)間分別(29.2±4.8)、(30.2±5.3)d,無統(tǒng)計(jì)學(xué)差異(t=-0.907,P=0.366);術(shù)后住院時(shí)間分別(6.1±1.5)、(6.0±1.4)d,無統(tǒng)計(jì)學(xué)差異(t=0.328,P=0.744)。術(shù)后1年實(shí)驗(yàn)組治愈74例,好轉(zhuǎn)1例,無復(fù)發(fā),對(duì)照組治愈27例,好轉(zhuǎn)1例,復(fù)發(fā)3例,實(shí)驗(yàn)組癥狀改善有效率明顯高于對(duì)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(bǔ)片聯(lián)合陰式子宮切除+陰道前后壁修補(bǔ)術(shù),療效好,復(fù)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(xué)第二附屬醫(yī)院婦產(chǎn)科;
【分類號(hào)】：R713.4

【相似文獻(xiàn)】

相關(guān)期刊論文 前1條

1 陳平;;改良陰式子宮切除術(shù)臨床分析[J];中國(guó)社區(qū)醫(yī)師;2014年19期

，

本文編號(hào)：1699398