阴式子宫切除加阴道前后壁修补术治疗子宫脱垂的效果分析

Effect of Vaginal Hysterectomy and Vagina Anterior and Posterior Wall Repair on Uterine Prolapse

目的:研究阴式子宫切除加阴道前后壁修补术治疗子宫脱垂的效果。方法:选取2018年2月-2019年1月笔者所在医院收治的71例子宫脱垂患者,按照随机数字表法将其分为对照组(35例)和观察组(36例)。对照组实施阴道前后壁修补术治疗,观察组实施阴式子宫切除加阴道前后壁修补术治疗。比较两组盆腔器官脱垂/尿失禁性功能问卷(PISQ-12)评分、临床疗效、并发症发生情况、1年复发率。结果:观察组术后6个月PISQ-12评分、总有效率均高于对照组,1年复发率低于对照组,差异均有统计学意义(P<0.05);两组并发症发生率比较差异无统计学意义(P>0.05)。结论:对子宫脱垂患者实施阴式子宫切除加阴道前后壁修补术的治疗效果显著,且安全性高。

Objective:To study the effect of vaginal hysterectomy and vagina anterior and posterior wall repair on uterine prolapse.Method:A total of 71 patients with uterine prolapse admitted in our hospital from February 2018 to January 2019 were selected and divided into the control group(35 cases)and the observation group(36 cases)according to the random number table method.The control group was treated with vagina anterior and posterior wall repair,the observation group was treated with vaginal hysterectomy and vagina anterior and posterior wall repair.The scores of pelvic organ prolapse/incontinence sexual function questionnaire(PISQ-12),clinical efficacy,incidence of complications and 1-year recurrence rate were compared between the two groups.Result:The PISQ-12 score at 6 months after operation and total effective rate of the observation group were higher than those of the control group,and the 1-year recurrence rate was lower than that of the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:In patients with uterine prolapse,vaginal hysterectomy and vagina anterior and posterior wall repair has significant therapeutic effect and high safety.