对比分析盆底重建术、传统阴式子宫切除加阴道前后壁修补术治疗子宫脱垂的价值

Comparative analysis of pelvic floor reconstruction,traditional vaginal hysterectomy and anterior and posterior vaginal wall repair in the treatment of uterine prolapse

目的:探讨女性子宫脱垂治疗中采用盆底重建术和传统阴式子宫切除术联合阴道前后壁修补术的临床疗效。方法:2017年3月-2019年5月收治子宫脱垂患者80例,随机分为两组,各40例。对照组采用传统阴式子宫切除联合阴道前后壁修补术治疗;观察组采用盆底重建术治疗。比较两组治疗效果。结果:观察组手术用时、失血量、总住院天数均少于对照组,观察组复发率低于对照组,差异均有统计学意义(P<0.05)。结论:盆底重建术治疗女性子宫脱垂效果优于传统阴式子宫切除术联合阴道前后壁修补术,有利于进一步优化患者围手术期指标水平,并可降低术后的复发风险。

Objective:To explore the clinical effect of pelvic floor reconstruction,traditional vaginal hysterectomy combined with anterior and posterior vaginal wall repair in the treatment of female prolapse.Methods:80 cases of uterine prolapse were selected from March 2017 to May 2019.They were randomly divided into the two groups with 40 cases in each group.The control group was treated with traditional vaginal hysterectomy combined with anterior and posterior vaginal wall repair,and the observation group was treated with pelvic floor reconstruction.We compared the therapeutic effect of the two groups.Results:The operation time,blood loss and total hospitalization days in the observation group were less than those in the control group,and the recurrence rate in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion:Pelvic floor reconstruction is better than traditional vaginal hysterectomy and repair of the anterior and anterior and posterior vaginal wall repair in the treatment of female prolapse,which is beneficial to further optimize the level of perioperative indicators and reduce the risk of recurrence.