摘要
目的探讨阴式子宫切除术治疗子宫脱垂伴阴道前后壁膨出的疗效。方法回顾性分析本院妇产科2009年1月～2010年1月25例行阴式子宫切除术治疗子宫脱垂伴阴道前后壁膨出患者的手术方法(腹腔镜辅助和单纯阴式子宫切除术)和疗效。结果观察组手术时间[(50±16)min]、术中出血量[(160±28)mL]、并发症发生率(6.98%)、住院时间[(4.3±0.5)d]和排气时间[(18.1±8.0)h]均少于对照组,差异有统计学意义。结论腹腔镜下阴式子宫切除术具有手术视野暴露清晰,能彻底止血,治疗所需时间短、并发症少的优点,是较为理想的手术方式,值得临床推广应用。
Objective To investigate the treatment effect of uterine prolapse with anterior and posterior vaginal encephalocele treated with vaginal hysterectomy. Methods The surgical approach （laparoscopic assisted vaginal hysterectomy and surgery alone） and efficacy of the 25 cases of vaginal hysterectomy patients with uterine prolapse with anterior and posterior vaginal anterior and posterior vaginal encephalocele from January 2009 to January 2010 in gynecology and obstetrics of our hospital were analysed retrospectively, the operation method and the treatment effect were analyzed. Results The operative time[（50±16） min], blood loss[（160±28） mL], rate of complications （6.98%）, hospital stay[（4.3±0.5） d] and discharge time[（18.1±8.0） h] in the observation group were all less than that of the control group, there were significant difference between two groups. Conclusion Laparoscopic vaginal hysterectomy with a clear operative field exposure is an ideal surgical method which can completely stop the bleeding, the treatment time is short, the advantages of complications are fewer. It is worthy of clinical application.
出处
《中国当代医药》
2012年第5期40-41,共2页
China Modern Medicine
关键词
子宫脱垂
伴阴道前后壁膨出
阴式子宫切除术
疗效观察
Uterine prolapse
Anterior and posterior vaginal encephalocele
Vaginal hysterectomy
Curative effect observation
