子宫脱垂手术是否联合生物补片治疗的临床疗效差异分析

发布时间：2018-04-02 07:29

本文选题：子宫脱垂　切入点：阴式子宫切除术　出处：《中国微创外科杂志》2017年05期

【摘要】：目的探讨生物补片联合阴式全子宫切除术+阴道前后壁修补术治疗子宫脱垂的临床效果。方法回顾性分析2010年1月~2015年5月我院106例子宫脱垂行阴式全子宫切除术+阴道前后壁修补术,其中联合生物补片治疗75例(实验组),单纯手术31例(对照组),比较2组手术时间、术中出血量、术后排气时间、术后住院时间和术后疗效。结果 2组手术均顺利完成,对照组和实验组手术时间分别(91.4±3.4)、(95.1±10.2)min,无统计学差异(t=-1.970,P=0.051);出血量分别(34.5±7.3)、(32.1±4.9)ml,无统计学差异(t=1.973,P=0.051);术后排气时间分别(29.2±4.8)、(30.2±5.3)d,无统计学差异(t=-0.907,P=0.366);术后住院时间分别(6.1±1.5)、(6.0±1.4)d,无统计学差异(t=0.328,P=0.744)。术后1年实验组治愈74例,好转1例,无复发,对照组治愈27例,好转1例,复发3例,实验组症状改善有效率明显高于对照组(Z=-2.571,P=0.010)。结论子宫脱垂患者如无需保留子宫,在无禁忌的情况下首选生物补片联合阴式子宫切除+阴道前后壁修补术,疗效好,复发率低。
[Abstract]:Objective to investigate the clinical effect of biological patch combined with vaginal anterior and posterior wall repair for uterine prolapse. Methods 106 cases of vaginal hysterectomy with uterine prolapse from January 2010 to May 2015 in our hospital were retrospectively analyzed. Repair of anterior and posterior wall of vagina, Among them, 75 cases were treated with biologic patch (experimental group) and 31 cases (control group). The operation time, blood loss, postoperative exhaust time, postoperative hospitalization time and postoperative curative effect were compared between the two groups. Results the operation was completed successfully in both groups. The operative time of the control group and the experimental group were 91.4 卤3.4 卤10.2min, respectively, and there was no statistical difference between the two groups (t = -1.970, P = 0.051), and the amount of bleeding was 34.5 卤7.3n / g, 32.1 卤4.931 卤4.971, respectively, and the postoperative time of exhaust was 29.2 卤4.8m ~ (30.2 卤5.3d), with no statistical difference (t = -0.907P = 0.366n); the postoperative hospitalization time was 6.1 卤1.5 卤1.4d, respectively, and there was no significant difference between the two groups (t = 0.328P = 0.328P = 0.744) 1 year after operation. 74 cases were cured in the experimental group. 1 case improved without recurrence, 27 cases were cured in control group, 1 case was improved and 3 cases recurred. The effective rate of symptom improvement in experimental group is obviously higher than that in control group. Conclusion the uterus is not needed in patients with uterine prolapse. In the case of no contraindication, the best choice is biological patch combined with vaginal anterior and posterior wall repair for vaginal hysterectomy, the curative effect is good and the recurrence rate is low.
【作者单位】：南京医科大学第二附属医院妇产科;
【分类号】：R713.4

【相似文献】