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目的:探讨传统手术在子宫脱垂伴阴道壁膨出术中的临床意义。方法:对2008年1月~2012年12月在该院经阴道全子宫切除术+阴道壁修补术治疗56例患者的手术经过及疗效进行回顾性分析。结果:56例患者中位手术时间69 min(50~82 min),中位出血量175 ml(150~200 ml),术后排气时间为20~29 h(24.12±4.19 h)。患者术后无感染、出血、心脑血管意外等并发症发生。术后随访48例患者,平均随访时间18个月,无一例复发。结论:经阴道全子宫切除术+阴道壁修补术治疗子宫脱垂伴阴道壁膨出者具有腹部无切口,对腹腔内脏器官干扰少,术后肠蠕动恢复快,疗效确切,符合微创治疗技术等优点。
Objective: To investigate the clinical significance of traditional surgery in uterine prolapse with vaginal wall bulging. Methods: From January 2008 to December 2012 in the hospital transvaginal hysterectomy + vaginal wall repair of 56 patients underwent surgery and the efficacy of retrospective analysis. Results: The median operation time was 69 min (50-82 min) and the median amount of bleeding was 175 ml (150-200 ml) in 56 patients. The duration of postoperative exhaust was 20- 29 h (24.12 ± 4.19 h). No postoperative infection, bleeding, cardiovascular and cerebrovascular accidents and other complications occurred. 48 patients were followed up for an average of 18 months, with no recurrence. Conclusion: Transvaginal hysterectomy + vaginal wall repair for uterine prolapse with vaginal wall bulging incision without abdomen, less interference on the abdominal organs, intestinal peristalsis recovery fast, the exact effect, in line with minimally invasive treatment techniques Etc.