手术治疗老年严重子宫脱垂伴全阴道膨出的临床效果分析

Clinical effect analysis of surgical treatment for severe uterine prolapse complicated with total vaginal prolapse in elderly patients

目的分析手术治疗老年严重子宫脱垂伴全阴道膨出的临床效果。方法 100例老年严重子宫脱垂伴全阴道膨出患者,按照等量对比原则分为观察组和对照组,每组50例。观察组患者采用经阴道全子宫全阴道切除术联合引导前后壁修补术治疗,对照组患者采用常规手术治疗。比较两组患者的临床治疗效果。结果观察组患者手术时间、术中出血量、住院时间均明显少于对照组,差异有统计学意义(P<0.05);观察组患者疼痛评分显著低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率为4%(2/50),明显低于对照组的16%(8/50),差异有统计学意义(P<0.05)。结论老年严重子宫脱垂伴全阴道膨出患者实施经阴道全子宫全阴道切除术联合引导前后壁修补术治疗,在临床上具有显著疗效,可以预防术后并发症,缩短手术时间,减少术中出血量,有利于患者的预后恢复。

Objective To analyze the clinical effect of surgical treatment for severe uterine prolapse complicated with total vaginal prolapse in elderly patients. Methods A total of 100 elderly patients with severe uterine prolapse and total vaginal prolapse were divided into observation group and control group according to the principle of equal contrast, 50 cases in each group. Patients in the observation group were treated by transvaginal total vaginal hysterectomy combined with guided anterior and posterior wall repair, patients in the control group were treated by routine surgery. The clinical treatment effects of the two groups were compared. Results The operative time and length of stay of the observation group were significantly shorter than those of the control group, the intraoperative blood loss of the observation group was significantly less than that of the control group, the differences were statistically significant（P〈0.05）. The pain score of the observation group was significantly lower than that of the control group, the difference was statistically significant（P〈0.05）. The incidence of postoperative complications in the observation group was 4%（2/50）, which was significantly lower than 16%（8/50） in the control group, the difference was statistically significant（P〈0.05）. Conclusion Transvaginal total vaginal hysterectomy combined with anterior and posterior wall repair for elderly patients with severe uterine prolapse and total vaginal prolapse has significant clinical effect, it can prevent postoperative complications, shorten the operative time, reduce intraoperative blood loss, and is conducive to the prognosis of patients.