两种手术方式治疗子宫脱垂的临床分析

Clinical analysis of two surgical therapy of uterine prolapse

目的探讨有效治疗子宫脱垂的手术方式。方法选择行子宫脱垂手术治疗的患者58例。12例行腹腔镜下经腹膜外子宫悬吊术为研究组,46例行经阴道子宫切除术为对照组,对两组的治疗结果进行对比分析。结果腹腔镜下经腹膜外子宫悬吊术患者的出血量、术后并发症、术后住院天数、手术时间明显少于经阴道子宫切除术患者,差异有统计学意义(P<0.05)。结论腹腔镜下经腹膜外子宫悬吊术可有效恢复患者的解剖学结构,创伤小,出血少,恢复快,是一种比较有效的治疗方法。

Objective To compare the effectiveness of two methods of surgical therapy of uterine prolapse. Methods 58 patients were selected and divided into two groups randomly from Oct.2008 to Janurary 2013：12 cases in study group were treated by extraperitoneal laparoscopic suspension of uterine prolapse and 58 patients in control group were treated by vaginal hysterectomy.The results were analyzed.Results The blood loss,postoperative morbid-ity,hospital stay,operation time in the study group were less than those in the control group.Conclusion The extrap-eritoneal laparoscopic suspension of uterine prolapse is not only effectively restore the patient＇s anatomy structure,sig-nificantly improve symptoms in patients with prolapse but also has many merits such as small trauma,less bleeding, and quick recovery.It is a safe,simple and effective method.