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后穹隆悬挂术在腹式子宫全切术中的意义探讨 被引量:1

STUDY QF POSTERIOR CULDOPLASTY AND VAGINAL VAULT SUSPENSION DURING ABDOMINAL HYSTERECTIOMY
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摘要 目的:探讨后穹隆悬挂术阻止子宫全切除术后阴道残端脱垂的优越性。方法:88例需进行子宫全切术患者随机分为悬挂组46例,传统子宫切除组42例,用改良Ostrzenski氏法行子宫切除术中后穹隆悬挂,随访1~2.5年。结果:两组手术时间、出血量、术后肛门排气、更年期症状的出现等无显著性差异,但悬挂组术后阴道长度及性生活质量明显好于传统组(P<0.01)。结论:腹式子宫切除中重造后穹隆及阴道穹隆悬挂能极大改变传统子宫切除术弊端.简便有效地阻止术后阴道残端脱垂,提高性生活质量。 Objective: To study the effects of a new and simplified posterior culdoplasty and vaginal cault suspension during abdominal hysterectomg. Method: 88 patients received abdominal hysterectomy were divided randomly into two groups, one group (46 patients) treated by posterior culdoplasty and vaginal vault suspension during abodominal hysterectomy and the other group (42 ones) by traditional abdominal hysterectomy. All of the patients were followed up for about 1 to 2. 5 years. Result: No significanf difference was found between the two groups in operative duration, blood loss and postoperative passage of gas by anus, but the postoperative vaginal length and sexual life quality in the posterior culdoplasty group were better than those in the traditional group (P<0. 01). Conclusion: The posterior culdoplasty and vaginal vault suspension during abdominal hysterectomy can restore the pelvic topography and functional anatomy. Therefore, it can prevent prolapse of vaginal stump after removal of the uterus and improve the patient's sexual life quality.
出处 《西南国防医药》 CAS 2001年第1期20-22,共3页 Medical Journal of National Defending Forces in Southwest China
关键词 腹式子宫切除术 阴道后穹隆悬挂术 阴道残端脱垂 abdominal hysterectomy posterior culdoplasty vaginal vault suspension
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