经阴道子宫切除术联合阴道前后壁修补术治疗盆腔器官脱垂的临床效果

Clinical effect of transvaginal hysterectomy combined with anterior and posterior vaginal wall repair in the treatment of pelvic organ prolapse

目的探讨经阴道子宫切除术联合阴道前后壁修补术治疗盆腔器官脱垂(POP)的临床效果。方法选取我院收治的120例POP患者作为研究对象,采用抓阄法随机将其分为观察组(60例,经阴道子宫切除术联合阴道前后壁修补术)和对照组(60例,经阴道子宫切除术)。比较两组的治疗效果。结果治疗后,两组的膀胱尿道后角、膀胱颈活动度、LHS、LAT均减小,且观察组小于对照组(P<0.05)。治疗后,观察组的盆底功能参数(Bp、Ap、C、Bα、Aα)改善情况优于对照组(P<0.05)。观察组并发症总发生率明显低于对照组(P<0.05)。结论经阴道子宫切除术联合阴道前后壁修补术治疗POP的临床效果显著。

Objective To explore the clinical effect of transvaginal hysterectomy combined with anterior and posterior vaginal wall repair in the treatment of pelvic organ prolapse(POP).Methods A total of 120 POP patients admitted in our hospital were selected as research objects and randomly divided into observation group(60 cases,transvaginal hysterectomy+anterior and posterior vaginal wall repair)and control group(60 cases,transvaginal hysterectomy)by drawing lots method.The therapeutic effects of the two groups were compared.Results After treatment,the posterior angle of bladder urethra,bladder neck activity,LHS and LAT in the two groups decreased,and those in the observation group were smaller than the control group(P<0.05).After treatment,the improvement of pelvic floor function parameters(Bp,Ap,C,Bα,Aα)in the observation group were better than those in the control group(P<0.05).The total incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Transvaginal hysterectomy combined with anterior and posterior vaginal wall repair in the treatment of POP has a significant clinical effect.