临床医学
臨床醫學
림상의학
CLINICAL MEDICINE
2009年
5期
26-27
,共2页
阴道前壁膨出%阴道旁修补术%补片
陰道前壁膨齣%陰道徬脩補術%補片
음도전벽팽출%음도방수보술%보편
Vaginal prolapse%Vaginal paraginal repair%Mesh
目的 探讨改良阴道旁修补术治疗阴道前壁及膀胱膨出的有效性和安全性.方法 采用改良阴道旁修补术,治疗21例有临床症状、临床检查确定为阴道前壁及膀胱膨出的患者.术后定期随访,对手术效果进行主观(患者自觉症状或感觉)及客观(临床检查)评价.结果 21例改良阴道旁修补术均获得成功.手术时间平均为60 min,出血量平均为110 ml,有1例术中耻骨后静脉丛出血为200 ml,无其他手术并发症,有2例术后发生排尿困难,于短期内痊愈.结论 改良阴道旁修补术在盆底重建中的短期疗效稳定,避免了使用补片,费用低廉,适合基层医院应用.
目的 探討改良陰道徬脩補術治療陰道前壁及膀胱膨齣的有效性和安全性.方法 採用改良陰道徬脩補術,治療21例有臨床癥狀、臨床檢查確定為陰道前壁及膀胱膨齣的患者.術後定期隨訪,對手術效果進行主觀(患者自覺癥狀或感覺)及客觀(臨床檢查)評價.結果 21例改良陰道徬脩補術均穫得成功.手術時間平均為60 min,齣血量平均為110 ml,有1例術中恥骨後靜脈叢齣血為200 ml,無其他手術併髮癥,有2例術後髮生排尿睏難,于短期內痊愈.結論 改良陰道徬脩補術在盆底重建中的短期療效穩定,避免瞭使用補片,費用低廉,適閤基層醫院應用.
목적 탐토개량음도방수보술치료음도전벽급방광팽출적유효성화안전성.방법 채용개량음도방수보술,치료21례유림상증상、림상검사학정위음도전벽급방광팽출적환자.술후정기수방,대수술효과진행주관(환자자각증상혹감각)급객관(림상검사)평개.결과 21례개량음도방수보술균획득성공.수술시간평균위60 min,출혈량평균위110 ml,유1례술중치골후정맥총출혈위200 ml,무기타수술병발증,유2례술후발생배뇨곤난,우단기내전유.결론 개량음도방수보술재분저중건중적단기료효은정,피면료사용보편,비용저렴,괄합기층의원응용.
Objective To explore the efficacy and safety of modified vaginal paraginal repair in treating vaginal prolapse and cystocele. Methods Twenty-one consecutive women with stage and grade anterior vaginal prolapse and cystocele evaluated by modified vaginal paraginal repair.AU patients were followed up after operation.The cure rate was estimated subjectively and objectively,according to POP-Q and Baden-walker half way system.Results All patients had their surgery completed by modified vaginal paraginal repair.The average operative time was 60 min and estimated blood loss was 110 ml.One minor intraoperative hemorrhage occurred during dissection of retropubic space and there was no other complication.Two cases developed obstructive voiding and recovered completely in a few days.Conclusion Modified vaginal paraginal repair with promising short-term results and needn't use mesh.
