摘要
目的探究改良阴式子宫切除联合阴道前后壁修补术在子宫脱垂Ⅱ~Ⅲ度合并肠疝(阴道后壁膨出)患者中的临床效果。方法选择2017年2月至2020年7月芜湖市第五人民医院收治的子宫脱垂Ⅱ~Ⅲ度合并肠疝患者60例作为研究对象,根据随机数字表法将患者随机分为2组,每组患者30例。对照组行传统阴式子宫切除联合阴道前后壁修补术,观察组行改良阴式子宫切除联合阴道前后壁修补术,对比2组患者手术情况(术中出血量、手术时间、肛门排气时间、留置尿管时间、术后住院时间、术后阴道总长度)、手术效果(手术成功、手术失败及复发情况),及2组患者术前、术后3和6个月盆底疾病生活质量影响问卷简表评分(PFIQ-7)、盆底功能障碍性疾病症状问卷评分(PFDI-20)、性生活质量评分(FSFI)。结果2组患者术中出血量、留置尿管时间比较,差异无统计学意义(P>0.05);观察组手术时间长于对照组,肛门排气时间、术后住院时间短于对照组,术后阴道总长度长于对照组(P<0.05)。观察组手术成功率为100.00%(30/30),对照组为手术成功率为80.00%(24/30),手术失败及复发率低于对照组,差异有统计学意义(P<0.05)。术前,2组PFIQ-7、PFDI-20、FSFI评分组间对比差异无统计学意义(P>0.05),术后3、6个月PFIQ-7、PFDI-20评分均下降,FSFI评分较术前提高,组间对比差异有统计学意义(P<0.05)。结论改良阴式子宫切除联合阴道前后壁修补术在子宫脱垂Ⅱ~Ⅲ度合并肠疝患者中应用,能够提高手术成功率,降低复发风险,促进术后恢复,提高术后生活质量,值得推广。
Objective To explore the clinical effect of modified vaginal hysterectomy combined with anterior and posterior vaginal wall repair in theⅡ-Ⅲdegree uterine prolapse complicated with intestinal hernia(posterior vaginal wall bulge).Methods 60 patients withⅡ-Ⅲdegree uterine prolapse complicated with intestinal hernia in Wuhu fifth peoples'hospital from February 2017 to July 2020 were selected as the research objects.According to the random number table method,the patients were randomly divided into control group(n=30)and observation group(n=30).The control group was treated with traditional vaginal hysterectomy combined with anterior and posterior vaginal wall repair,and the observation group was treated with modified vaginal hysterectomy combined with anterior and posterior vaginal wall repair.The operation condition(intraoperative blood loss,operation time,anal exhaust time,indwelling catheter time,postoperative hospital stay,postoperative vaginal length),operation effect(operation success,operation failure and recurrence)of the two groups were compared,and the pelvic floor disease quality of life questionnaire(PFIQ-7),pelvic floor dysfunction symptoms questionnaire(PFDI-20),quality of life assessment(FSFI)for patients of two groups before operation,at 3 months after operation,6 months after operation were compared.Results There was no significant difference in intraoperative blood loss and indwelling catheter time between the two groups(P>0.05).The operation time of the observation group was longer than that of the control group,anal exhaust time and postoperative hospital stay were shorter than those of the control group,and the total length of vagina after operation was longer than that of the control group(P<0.05).The success rate of operation was 100.00%(30/30)in the observation group,and 80.00%(24/30)in the control group.The failure and recurrence rate of operation in the observation group was lower than that in the control group(P<0.05).Before operation,the PFIQ-7,PFDI-20 and FSFI scores of the two g
作者
张婷婷
张梅娣
范丹丹
Zhang Tingting;Zhang Meidi;Fan Dandan(Department of Obstetrics and Gynecology,Wuhu Fifth People's Hospital,Wuhu 241000,China;Department of Gynecological Oncology,Hefei Phoenix Cancer Hospital,Hefei 230000,China)
出处
《中华疝和腹壁外科杂志（电子版）》
2021年第4期401-405,共5页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
基金
合肥市科研基金项目(201625)
关键词
改良阴式子宫切除
阴道前后壁修补术
子宫脱垂
肠疝
手术效果
性生活质量
Modified vaginal hysterectomy
Anterior and posterior vaginal wall repair
ⅡUterine prolapse
Intestinal hernia
Surgical effect
Ssexual life quality score
