盆腔脏器脱垂常用术式临床分析

CLINICAL ANALYSIS OF COMMONLY SURGERY FOR PELVIC ORGAN PROLAPSE

目的探讨曼氏术和阴式全宫切除加阴道前后壁修补术在盆腔脏器脱垂手术治疗中的安全性及有效性。方法对我院103例中重度盆腔脏器脱垂手术进行了回顾性分析,其中63例行曼氏术,40例行阴式全子宫切除加阴道前后壁修补术。结果两组手术过程顺利,曼氏术手术时间短,术后恢复快,术后效果好,无一例盆腔脏器脱垂复发。结论无器质性病变的盆腔脏器脱垂以曼氏术为优,其手术简单、有效、安全性高,既适用于年轻妇女,更适用于体质弱、有内科合并症的老年妇女。

Objective Explore the safety and effect of the Mantrester operation and operation of removal the entire uterus and repairmen of the anterior and posterior wall of the vagina in the pelvic organ prolapse.Methods In our hospital 103 cases of severe pelvic organ prolapse surgery were analyzed retrospectively. 63 cases on Mantrester operation,40 cases operation of removal the entire uterus and repairmen of the anterior and posterior wall of the vagina.Results Surgical procedures were successfully,Mantrester operation takes a shorter time, faster postoperative recovery, after effects good, and no case of recurrence of pelvic organ prolapse. Condusion Mantrester operation is the best surgery for pelvic organ prolapse without organic pathology, because its operation is simple, effective and safe, not only fit for young women, but also applying to the weak physical, medical complications of older women.