沂蒙山区女性盆底功能障碍性疾病手术治疗的临床研究

Clinical study on the treatment of Yimeng mountain area of female pelvic floor dysfunction operation

目的探讨沂蒙山区女性盆底功能障碍性疾病阴道前后壁"桥"式修补加阴道旁修补加改良阴道纵隔成形术的临床应用价值。方法总结分析采用阴道前后壁"桥"式修补加阴道旁修补加改良阴道纵隔成形术治疗子宫脱垂合并阴道前壁和/或后壁脱垂患者42例,为观察组,并与同期采用阴式子宫全切加传统阴道前后壁修补治疗子宫脱垂合并阴道前壁和/或后壁脱垂患者36例,为对照组,进行比较。结果观察组42例均取得满意效果。观察组术中出血量及手术时间低于对照组(P>0.05),观察组术后住院日少于对照组(P<0.05)。两组均无排尿困难及尿潴留,术后随访2年。观察组术后1个月复查阴道深度长于对照组,差异有统计学意义(P<0.05)。术后随访观察组无复发,对照组复发4例,复发率11.1%,与观察组相比,差异有统计学意义(P<0.05)。结论阴道前后壁"桥"式修补加阴道旁修补加改良阴道纵隔成形术能有效治疗女性盆底功能障碍性疾病。经济实用,特别适合贫困地区。

Objective To investigate the before and after the Yimeng mountain area of female pelvic floor dysfunction “bridge”type of vaginal wall repair plus vaginal paravaginal repair plus modified vagina mediastinum angioplasty clinical application value . Methods Summary of the vaginal wall “bridge” type with repair of vaginal paravaginal repair plus modified vaginal septum plasty in the treatment of uterine prolapse vaginal anterior and /or posterior wall prolapse were 42 cases,the observation group,before and after vaginal total hysterectomy with traditional vaginal wall prolapse repair in 36 cases of patients with uterine prolapse repair therapy with the front wall of the vagina and /or with the same period in the control group were compared .Results In the observation group ,42 ca-ses were achieved satisfactory results .the patients in the observation group bleeding and operation time is lower than that of the control group（P〉0.05）,the observation group postoperative hospitalization days less than the control group （P〈0.05）.There were no dysuria and urinary retention in two groups , patients were followed up for 2 years.The observation group 1 months after the treatment , the depth of the vagina is longer than the control group ,the difference was statistically significant （P〈0.05）.There were no recurrence af-ter follow-up study, the control group of 4 cases of recurrence, the recurrence rate of 11.1%, compared with the observation group had significant difference（P〈0.05）.Conclusion Anterior and posterior wall of the vagina “bridge” type with repair of vaginal para-vaginal repair plus modified vagina mediastinum angioplasty is effective in the treatment of female pelvic floor dysfunction .Economical and practical , especially for poor areas .