不同年龄组子宫脱垂行阴式子宫切除172例临床分析

Clinical Analysis of Uterine Prolapse with Vaginal Hysterectomy in 172 Cases in Different Age Groups

目的探讨老年女性及非老年女性行经阴道子宫切除术的术中及术后情况比较。方法对2010年01月-2014年12月因子宫脱垂Ⅱ度及Ⅱ度以上为第一诊断入院行经阴道子宫切除术的172例患者的临床资料做回顾性分析。结果老年组与非老年组手术时间、术后疼痛评分、肛门排气时间、下床活动时间、术后尿潴留发生率比较，差异有统计学意义（P〈0．05），两组术中出血量比较差异无统计学意义（P〉0．05）。结论阴式子宫切除是治疗女性子宫脱垂的理想方法，但老年组术后恢复明显迟于非老年组，术后并发症增多，术中、术后需采取相关措施，减少术中风险及术后并发症。

Objective To investigate the circumstance of intraoperation and postoperation in different age groups treated with vaginal hysterectomy. Methods A retrospective analysis was done on 172 cases of uterine prolapse stage 2 or higher treated with vaginal hysterectomy in different age groups. Results There were significant differences among the intraoperative time, postoperative pain assessment after operation, the time of passage of gas by anus, out-of-bed activity and the incidence of urinary tract infection after operation between different age groups （P 〈 0.05）, but there was no significant difference in amount of bleeding between these two different groups （P 〉 0.05）. Conclusion The vaginal hysterectomy is a safe and effective management in different age groups, but the elderly patients would have more complications. Every elderly patient should be managed carefully in intraoperation and postoperation.