摘要
目的:探讨女性生殖器疾患合并生殖器脱垂经腹1次完成的新术式。方法:研究组58例均患有生殖器疾患,合并有不同程度的子宫脱垂及阴道前后壁膨出,经腹行子宫附件切除并阴道前后壁修补术。对照组38例腹式子宫附件切除加阴式阴道前后壁修补。结果:研究组手术时间为1h 20min～2 h 10min,平均为1h 42min。对照组为 2h～3 h 20min,平均2 h 31min（P<0.01）。平均出血量分别为152mL、303mL（P<0.01）。结论:开腹直视下手术操作解剖关系清楚,操作简化,较阴式手术难度小,创伤小,不易损伤膀胱、输尿管、直肠等周围脏器,且血管结扎、韧带悬吊牢靠,意外情况发生少,出血少,手术时间短。有利患者术后恢复。
Objective: To investigate a new way of operation to cure female genital diseases complicated by prolapse of genitalia. Methods: Ninety-six patients with genital diseases complicated by different stages of uterine prolapse and cystorectocele were divided into two groups: a study group(n =58) and a control group(n =38). Abdominohysterectomy, salpingo-oophorectomy, transabdominal antero and postero-colporrhaphy were conducted in study group. Abdominohysterectomy, salpingo-oophorectomy, vaginal antero- and postero-colporrhaphy were performed in control group. Results:The average operaton times in study group and control group were 80~130 (mean: 102)and 120-200( mean: 151)minutes respectively(P < 0.001) .The average volumes of hemorrhage in study group and control group were 152 and 303 ml respectively( P < 0.001). Conclusion: The transabdominal repair is better than the vaginal repair because of its many advantages, such as easier manipulation, less lesion and bleeding,shorter operation time and better postoperation rehabilitation etc.
出处
《天津医药》
CAS
北大核心
2002年第7期405-407,共3页
Tianjin Medical Journal
