CAJ | 학술논문

目的比较治疗老年妇女盆腔脏器脱垂的两种手术方法即传统阴式手术和新式补片术的临床疗效.方法将60例老年妇女盆腔脏器脱垂患者随机分成传统组和新式组各30例,传统组行传统阴式术,新式组行新式补片术.比较两组手术时间、出血量、术后的留置导尿管时间、住院时间及术后恢复情况和3年复发率.结果新式组的留置导尿管时间、住院时间明显短于传统组(t=8.9471、14.2584,均P＜0.05),术后恢复情况优于传统组(x2 =5.9341,P ＜0.05),3年复发率明显低于传统组(x2=4.7059,P＜0.05)；但新式组的手术时间长于传统组(t=4.4631,P＜0.05),术中出血量多于传统组(=2.0318,P＜0.05).结论新式补片术治疗老年妇女盆腔脏器脱垂的临床疗效优于传统阴式术.
목적 비교치료노년부녀분강장기탈수적량충수술방법즉전통음식수술화신식보편술적림상료효.방법 장60례노년부녀분강장기탈수환자수궤분성전통조화신식조각30례,전통조행전통음식술,신식조행신식보편술.비교량조수술시간、출혈량、술후적류치도뇨관시간、주원시간급술후회복정황화3년복발솔.결과 신식조적류치도뇨관시간、주원시간명현단우전통조(t=8.9471、14.2584,균P＜0.05),술후회복정황우우전통조(x2 =5.9341,P ＜0.05),3년복발솔명현저우전통조(x2=4.7059,P＜0.05)；단신식조적수술시간장우전통조(t=4.4631,P＜0.05),술중출혈량다우전통조(=2.0318,P＜0.05).결론 신식보편술치료노년부녀분강장기탈수적림상료효우우전통음식술.
Objective To compare the clinical effects of the traditional operation and the new patch technique for the elderly women with pelvic organ prolapse.Methods 60 elderly women with pelvic organ prolapse patients were randomly divided into the traditional group and the modern group with 30 cases.The traditional group was treated with traditional surgery.The madern group was treated by new patch repair.Compare of the operation time,operative blood loss,catheter duration,hospital stay,postoperative recovery and 3 years recurrence rate in two groups.Results The catheter duration and hospital stay of the mederm group were significantly shorter than those of the traditional group (t =8.9471,14.2584,P ＜ 0.05).The postoperative recovery of the new group was better than the traditional group (x2 =5.9341,P ＜ 0.05).The 3 years recurrence rate of the mederm group was significantly lower than those of the traditional group (x2 =4.7059,P ＜ 0.05).The operation time of the mederm group was longer than those of the traditional group (t =4.4631,P ＜ 0.05) and the operative blood loss was more than the traditional group (t =2.0318,P ＜ 0.05).Conclusion The effect of the new patchin the treatment of elderly women with pelvic organ prolapse is better than the traditional surgery.