中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
29期
40-41
,共2页
阴道半封闭术%改曼术%手术效果%盆腔脏器脱垂
陰道半封閉術%改曼術%手術效果%盆腔髒器脫垂
음도반봉폐술%개만술%수술효과%분강장기탈수
Vaginal semi closed surgery%Modified mann type operation%Operation effect%Pelvic organ prolapse
目的：探讨改曼术及阴道半封闭术治疗老年性重度盆腔脏器脱垂(POP)的临床疗效。方法：收治重度POP患者22例，分别行改曼术(阴道前后壁修补术+宫颈截除术+主韧带短缩术)及阴道半封闭术治疗，回顾性分析其临床资料。结果：两组患者均安全度过围手术期，顺利恢复自主排尿，阴道半封闭组出现1例阴道血肿，改曼术后2例复发，后行阴道半封闭术。结论：阴道半封闭术能缓解多数患者已有的排尿、排便症状，对于无阴道性生活要求的老年重度 POP 患者是一种安全、经济、疗效满意的术式，但对于有明确性生活要求的老年患者，改曼术是较好的选择，但其较易复发。
目的：探討改曼術及陰道半封閉術治療老年性重度盆腔髒器脫垂(POP)的臨床療效。方法：收治重度POP患者22例，分彆行改曼術(陰道前後壁脩補術+宮頸截除術+主韌帶短縮術)及陰道半封閉術治療，迴顧性分析其臨床資料。結果：兩組患者均安全度過圍手術期，順利恢複自主排尿，陰道半封閉組齣現1例陰道血腫，改曼術後2例複髮，後行陰道半封閉術。結論：陰道半封閉術能緩解多數患者已有的排尿、排便癥狀，對于無陰道性生活要求的老年重度 POP 患者是一種安全、經濟、療效滿意的術式，但對于有明確性生活要求的老年患者，改曼術是較好的選擇，但其較易複髮。
목적：탐토개만술급음도반봉폐술치료노년성중도분강장기탈수(POP)적림상료효。방법：수치중도POP환자22례，분별행개만술(음도전후벽수보술+궁경절제술+주인대단축술)급음도반봉폐술치료，회고성분석기림상자료。결과：량조환자균안전도과위수술기，순리회복자주배뇨，음도반봉폐조출현1례음도혈종，개만술후2례복발，후행음도반봉폐술。결론：음도반봉폐술능완해다수환자이유적배뇨、배편증상，대우무음도성생활요구적노년중도 POP 환자시일충안전、경제、료효만의적술식，단대우유명학성생활요구적노년환자，개만술시교호적선택，단기교역복발。
Objective:To explore the clinical effect of elderly patients with severe pelvic organ prolapse(POP) with the treatment of modified mann type operation and vaginal semi closed surgery.Methods:22 patients with severe POP were selected.They were given modified mann type operation(the anterior and posterior vaginal wall repair plus cervical resection plus main ligament shortening) and vaginal semi closed surgery respectively,and the clinical data were retrospectively analyzed.Results:Two groups of patients were safely through the perioperative period.The autonomous urination was recovery smoothly.In vaginal semi closed surgery group,1 case had vaginal hematoma.In modified mann type operation group,2 cases had recurrence,and then,they were given vaginal semi closed surgery.Conclusion:Vaginal semi closed surgery can relieve the symptoms of urination and defecation in most patients.For the elderly patients with severe POP without the requirement of vaginal sex life,it was a safe,economical and satisfactory operation,but for the elderly patients with severe POP with the requirement of vaginal sex life,modified mann type operation was a better choice,but it was more prone to relapse.
