CAJ | 학술논문

目的：探讨阴式手术治疗子宫脱垂的疗效。方法回顾性分析重庆医科大学附属第一医院妇科301例子宫脱垂行阴式手术治疗的临床资料。结果301例均手术顺利，其中子宫脱垂Ⅰ度114例，治愈63例（55.26％），好转25例（21.93％），复发23例（20.18％），无效3例（2.63％），临床有效率77.19％；子宫脱垂Ⅱ度178例，治愈101例（56.74％），好转67例（37.64％），复发10例（5.62％），临床有效率94.28％；子宫脱垂Ⅲ度9例，治愈1例（11.11％），好转5例（55.56％），1例复发（11.11％），2例无效（22.22％），临床有效率66.67％。结论阴式手术对于Ⅰ、Ⅱ度子宫脱垂疗效好，具有痛苦小、并发症少、恢复快等特点，对于Ⅲ度子宫脱垂大部分有效，部分无效，且易复发。
목적：탐토음식수술치료자궁탈수적료효。방법회고성분석중경의과대학부속제일의원부과301례자궁탈수행음식수술치료적림상자료。결과301례균수술순리，기중자궁탈수Ⅰ도114례，치유63례（55.26％），호전25례（21.93％），복발23례（20.18％），무효3례（2.63％），림상유효솔77.19％；자궁탈수Ⅱ도178례，치유101례（56.74％），호전67례（37.64％），복발10례（5.62％），림상유효솔94.28％；자궁탈수Ⅲ도9례，치유1례（11.11％），호전5례（55.56％），1례복발（11.11％），2례무효（22.22％），림상유효솔66.67％。결론음식수술대우Ⅰ、Ⅱ도자궁탈수료효호，구유통고소、병발증소、회복쾌등특점，대우Ⅲ도자궁탈수대부분유효，부분무효，차역복발。
Objective To observe the clinical curative effects of transvaginal surgery in treatment of uter -ine prolapse .Methods The clinical data of 301 cases of uterine prolapse in our hospital treated with transvagi-nal surgery were retrospectively analyzed .Results The surgeries of 301 cases were successful .Among the 114 cases with the first degree uterine prolapse,63 cases were cured(55.26%),25 cases were improved(21.93%), 23 cases were relapsed ( 20.18%) , and 3 cases were ineffectively ( 2.63%) .The clinical effective rate was 77.19%.Among the 178 cases with the second degree uterine prolapse ,101 cases were cured(56.74%),67 ca-ses improved(37.64%),and 10 cases were relapsed(5.62%).The clinical effective rate was 94.28%.Among the 9 cases with the third degree uterine prolapse , 1 case was cured ( 11.11%) , 5 cases were improved (55.56%),1 case was relapsed(11.11%),and 2 cases were ineffectively(22.22%).The clinical effective rate was 66.67%.Conclusion Transvaginal surgery is regarded as an good method for the first and second degree u -terine prolase because of its curative effects ,less pain ,low incidence of complications and quick recovery .Howev-er, it is ineffective and has a higher rate of recurrence for some cases of third degree uterine prolapse .