CAJ | 학술논문

目的探讨有效治疗子宫脱垂的手术方式。方法选择行子宫脱垂手术治疗的患者58例。12例行腹腔镜下经腹膜外子宫悬吊术为研究组，46例行经阴道子宫切除术为对照组，对两组的治疗结果进行对比分析。结果腹腔镜下经腹膜外子宫悬吊术患者的出血量、术后并发症、术后住院天数、手术时间明显少于经阴道子宫切除术患者，差异有统计学意义（P ＜0．05）。结论腹腔镜下经腹膜外子宫悬吊术可有效恢复患者的解剖学结构，创伤小，出血少，恢复快，是一种比较有效的治疗方法。
목적탐토유효치료자궁탈수적수술방식。방법선택행자궁탈수수술치료적환자58례。12례행복강경하경복막외자궁현조술위연구조，46례행경음도자궁절제술위대조조，대량조적치료결과진행대비분석。결과복강경하경복막외자궁현조술환자적출혈량、술후병발증、술후주원천수、수술시간명현소우경음도자궁절제술환자，차이유통계학의의（P ＜0．05）。결론복강경하경복막외자궁현조술가유효회복환자적해부학결구，창상소，출혈소，회복쾌，시일충비교유효적치료방법。
Objective To compare the effectiveness of two methods of surgical therapy of uterine prolapse. Methods 58 patients were selected and divided into two groups randomly from Oct.2008 to Janurary 2013:12 cases in study group were treated by extraperitoneal laparoscopic suspension of uterine prolapse and 58 patients in control group were treated by vaginal hysterectomy.The results were analyzed.Results The blood loss,postoperative morbid-ity,hospital stay,operation time in the study group were less than those in the control group.Conclusion The extrap-eritoneal laparoscopic suspension of uterine prolapse is not only effectively restore the patient's anatomy structure,sig-nificantly improve symptoms in patients with prolapse but also has many merits such as small trauma,less bleeding, and quick recovery.It is a safe,simple and effective method.