老年妇女盆腔脏器脱垂60例手术治疗的临床研究

Clinical study on the surgical treatment pelvic organ prolapse in 60 elder women

目的比较治疗老年妇女盆腔脏器脱垂的两种手术方法即传统阴式手术和新式补片术的临床疗效。方法将60例老年妇女盆腔脏器脱垂患者随机分成传统组和新式组各30例，传统组行传统阴式术，新式组行新式补片术。比较两组手术时间、出血量、术后的留置导尿管时间、住院时间及术后恢复情况和3年复发率。结果新式组的留置导尿管时间、住院时间明显短于传统组（t=8．9471、14．2584，均P〈0．05），术后恢复情况优于传统组（X^2=5．9341，P〈0．05），3年复发率明显低于传统组（X^2=4．7059，P〈0．05）；但新式组的手术时间长于传统组（t=4．4631，P〈0．05），术中出血量多于传统组（t=2．0318，P〈0．05）。结论新式补片术治疗老年妇女盆腔脏器脱垂的临床疗效优于传统阴式术。

Objective To compare the clinical effects of the traditional operation and the new patch tech- nique for the elderly women with pelvic organ prolapse. Methods 60 elderly women with pelvic organ prolapse pa- tients were randomly divided into the traditional group and the modem group with 30 cases. The traditional group was treated with traditional surgery. The madem group was treated by new patch repair. Compare of the operation time, op- erative blood loss, catheter duration, hospital stay, postoperative recovery and 3 years recurrence rate in two groups. Results The catheter duration and hospital stay of the mederm group were significantly shorter than those of the tra- ditional group （ t = 8. 9471,14. 2584 ,P 〈 0.05 ）. The postoperative recovery of the new group was better than the tra- ditional group （ X2 = 5. 9341, P 〈 0. 05 ）. The 3 years recurrence rate of the mederm group was significantly lower than those of the traditional group （ X2 = 4. 7059, P 〈 0. 05 ）. The operation time of the mederm group was longer than those of the traditional group （ t = 4. 4631, P 〈 0. 05 ） and the operative blood loss was more than the traditional group （ t = 2.0318, P 〈 0. 05 ）. Conclusion The effect of the new patehin the treatment of elderly women with pelvic organ prolapse is better than the traditional surgery.