宫颈部分切除+桥式阴道前后壁修补术治疗宫颈延长及阴道前后壁脱垂的临床效果

Clinical effect of cervical partial resection and vaginal bridge anterior-and posterior-wall repair in the treatment of elongation of cervix and vaginal anterior and posterior wall prolapse

目的探讨宫颈部分切除+桥式阴道前后壁修补术治疗宫颈延长及阴道前后壁脱垂的临床效果。方法选取2014年3月~2016年6月我院接收治疗的盆腔器官脱垂80例患者为研究对象,按照双盲法将其分两组,每组25例。对照组实施传统的阴道前后壁修补手术,研究组实施桥式阴道前后壁修补术加宫颈部分切除术治疗。比较两组的临床效果。结果对照组与研究组患者的并发症发生率分别为35.00%和10.00%,两组比较差异有统计学意义(P<0.05);研究组患者的复发率明显低于对照组(P<0.05)。结论采用桥式阴道前后壁修补术加宫颈部分切除术联合治疗,具有复发率低、加快患者的病症康复及减少手术创伤性、并发症等优势,可提高手术治疗效果。

Objective To investigate the clinical effect of cervical partial resection and vaginal bridge anterior-and posterior-wall repair in the treatment of elongation of cervix and vaginal anterior and posterior wall prolapse.Methods Clinical data from 80 patients suffering from prolapse of pelvic organs treated in our hospital from March 2014 to June 2016 were selected.By double-blind method,they were evenly divided into two group.In the control group,traditional vaginal anterior and posterior wall repair method was applied.In the research group,vaginal bridge anterior-and posterior-wall repair plus vaginal partial resection was implemented.The clinical effect in the two groups was compared.Results The incidence of complications in the control group and research group was 35.00% and 10.00% respectively,with statistical difference after inter-group comparison（P〈0.05）.The recurrence rate in the research group was much lower in comparison with that in the control group（P〈0.05）.Conclusion Application of vaginal bridge anterior-and posterior-wall repair plus cervical partial resection as a joint treatment has advantages of low recurrence rate,speeding up patients′ rehabilitation,reducing surgical trauma and decreasing complications,etc.and improves surgical therapeutic effect.