改良阴式子宫切除术治疗老年妇女子宫脱垂的临床效果

发布时间：2018-01-26 08:11

本文关键词： 改良阴式子宫切除术子宫脱垂阴道壁膨出　出处：《中国老年学杂志》2017年13期 　论文类型：期刊论文

【摘要】：目的研究改良阴式子宫切除术在老年妇女子宫脱垂中应用的临床疗效。方法老年子宫脱垂患者76例,随机分为观察组和对照组,每组38例。观察组采用改良阴式子宫切除术,对照组采用传统阴式子宫切除术进行治疗。对两组的手术与住院时间以及疗效与术后状况进行探究。结果观察组治疗有效率高于对照组(P0.05)。观察组住院时间、手术时间及术中出血量均明显低于对照组(P0.05)。术后6个月~1年随访,观察组未出现复发、肠病、大小便及性功能异常,对照组出现阴道残端脱垂2例,术后肠病1例。结论改良阴式子宫切除术对于老年妇女子宫脱垂治疗效果显著,安全性高,复发与并发症发生率较低,可以进行推广应用。
[Abstract]:Objective to study the clinical effect of modified vaginal hysterectomy in elderly women with uterine prolapse. Methods 76 elderly patients with uterine prolapse were randomly divided into observation group and control group. 38 cases in each group. The observation group was treated with modified vaginal hysterectomy. The control group was treated with traditional vaginal hysterectomy. The operation and hospitalization time, curative effect and postoperative status of the two groups were investigated. Results the effective rate of treatment in the observation group was higher than that in the control group (P 0.05). Duration of hospitalization in observation group. The time of operation and the amount of intraoperative bleeding were significantly lower than those of control group (P 0.05). 6 months to 1 year after operation, no recurrence, intestinal disease, urinary and sexual dysfunction were found in the observation group. In the control group, vaginal stump prolapse occurred in 2 cases and intestinal disease in 1 case after operation. Conclusion modified vaginal hysterectomy is effective and safe in the treatment of uterine prolapse in elderly women, and the incidence of recurrence and complications is low. It can be popularized and applied.
【作者单位】：郑州大学第一附属医院;
【分类号】：R713.42
【正文快照】： 子宫脱垂总与阴道前壁、压力性尿失禁及后壁膨出等相关症状通常紧密相连。老年女性绝经后激素的分泌量降低,部分患者此前妊娠过程中存在产伤等子宫壁影响因素故易出现子宫脱垂,子宫脱垂发生后将对其日常生活产生巨大影响[1]。在诊治子宫脱垂病症当中,阴式子宫切除术为主要方式

【相似文献】