传统手术在子宫脱垂伴阴道壁膨出术中的临床意义分析

Analysis on clinical significance of traditional surgery in uterine prolapse combined with vaginal wall prolapse surgery

目的：探讨传统手术在子宫脱垂伴阴道壁膨出术中的临床意义。方法：对2008年1月~2012年12月在该院经阴道全子宫切除术＋阴道壁修补术治疗56例患者的手术经过及疗效进行回顾性分析。结果：56例患者中位手术时间69 min（50~82 min）,中位出血量175 ml（150~200 ml）,术后排气时间为20~29 h（24.12±4.19 h）。患者术后无感染、出血、心脑血管意外等并发症发生。术后随访48例患者,平均随访时间18个月,无一例复发。结论：经阴道全子宫切除术＋阴道壁修补术治疗子宫脱垂伴阴道壁膨出者具有腹部无切口,对腹腔内脏器官干扰少,术后肠蠕动恢复快,疗效确切,符合微创治疗技术等优点。

Objective ： To explore the clinical significance of traditional surgery in uterine prolapse combined with vaginal wall prolapse surgery. Methods： The operation and curative effect of 56 patients treated with transvaginal total hysterectomy and vaginal wall repair in the hospital from January 2008 to December 2012 were analyzed retrospectively. Results： The median operation time was 69 minutes （50-82 minutes）; the median amount of blood loss was 175 ml （150 -200 ml）, the postoperative discharge time was 20 -29 hours （24. 12 ± 4. 19 hours） . No complication occurred after operation, such as infection, hemorrhage and cardiocerebral events. After operation, 48 patients were followed up, the mean follow -up time was 18 months, no recurrence occurred. Conclusion： Transvaginal total hysterectomy combined with vaginal wall repair has the advantages of no abdominal incision, less interference to abdominal visceral organs, rapid recovery of postoperative intestine peristalsis, significant efficacy and minimal invasion in treatment of uterine prolapse combined with vaginal wall prolapse.