CAJ | 학술논문

目的：观察子宫切除与阴道修补术治疗子宫脱垂伴阴道前后壁膨出的临床疗效。方法选取自2010年以来收治的子宫脱垂伴阴道前后壁膨出患者52例，其中26例患者接受子宫切除与阴道修补术治疗，为实验组；另外26例患者接受阴道部分闭合术治疗，为对照组。对两组手术时间、手术失血量、术后住院时间和术后并发症的情况进行对比分析。结果实验组手术时间、手术失血量和术后住院时间均优于对照组，且实验组术后并发症发生率更低，差异均有统计学意义（P﹤0.05）。结论子宫切除与阴道修补术治疗子宫脱垂伴阴道前后壁膨出，其手术时间更短、出血更少、住院时间更短、并发症少，临床疗效更好，可减少患者生理上的痛苦，是目前治疗该疾病的较佳手术方法，值得在临床上进一步推广应用。
목적：관찰자궁절제여음도수보술치료자궁탈수반음도전후벽팽출적림상료효。방법선취자2010년이래수치적자궁탈수반음도전후벽팽출환자52례，기중26례환자접수자궁절제여음도수보술치료，위실험조；령외26례환자접수음도부분폐합술치료，위대조조。대량조수술시간、수술실혈량、술후주원시간화술후병발증적정황진행대비분석。결과실험조수술시간、수술실혈량화술후주원시간균우우대조조，차실험조술후병발증발생솔경저，차이균유통계학의의（P﹤0.05）。결론자궁절제여음도수보술치료자궁탈수반음도전후벽팽출，기수술시간경단、출혈경소、주원시간경단、병발증소，림상료효경호，가감소환자생리상적통고，시목전치료해질병적교가수술방법，치득재림상상진일보추엄응용。
Objective To observe the clinical effects of hysterectomy and vaginal repairment on uterine prolapse complicated with anterior and posterior vaginal wall prolapse. Methods Fifty-two pa-tients with uterine prolapse complicated with anterior and posterior vaginal wall prolapse were chose from 2010 ,including 26 patients underwent hysterectomy and vaginal repairment surgery in the experimental group,and 26 patients received partial colpocleisis treatment in the control group. The time-consuming of operation,blood loss,postoperative hospital stay and postoperative complications of the two groups were compared and analyzed. Results The operation time,operation blood loss and postoperative hospi-talization time were shorter in the experimental group than those in the control group,and the inci-dence of postoperative complications was lower in the experimental group than that in the control group,the differences were significant(P﹤0. 05). Conclusions Hysterectomy and vaginal repair-ment in the treatment of uterine prolapse complicated with anterior and posterior vaginal wall pro-lapse,has short operation time,less bleeding,short hospitalization time,less complications,better clinical efficacy,and can relieve the physical pain of patients,so is a good operation method,and it is worth to be popularized in clinics.