阴式子宫切除术及阴道前后壁修补术治疗中老年性子宫脱垂的疗效分析

Clinical analysis of transvaginal hysterectomy plus anterior and/ or posterior colporrhaphy in treating patients with uterine prolapse

目的探讨阴式子宫切除术及阴道前后壁修补术治疗老年性子宫脱垂的疗效。方法分析48例行阴式子宫切除术及阴道前后壁修补术的中老年患者的手术疗效及术后随访(2年)结果。结果 48例子宫脱垂及阴道脱垂中老年患者经阴道手术效果满意,术后无一例复发。结论阴式子宫切除及阴道前后壁修补术具有损伤少,恢复快,无腹部疤痕等优点,值得临床推广应用。

Objective To evaluate the effectiveness of transvaginal hysterectomy plus anterior and/or posterior colporrhaphy in treating patients with uterine prolapse. Methods The postoperative conditions of vaginal hysterectomy were analyzed in 48 patients who were admitted from March 2006 to March 2008 to our department. All patients were followed up for 2 years. Results The operative effects were satisfactory and no re - operation ease was found in this group. Conclusion Transvaginal hysterectomy plus anterior and/or posterior colporrhaphy in treating patients with uterine prolapse has many merits, such as less trauma, quicker recovery, no scar in abdomen and should be widely used in clinic practice.