【摘要】 目的评价两种治疗子宫脱垂的手术方法及效果。方法80例子宫脱垂患者,30例行经阴子宫切除术+阴道前后壁修补术(切除组);50例行经腹子宫悬吊术+阴道前后壁修补术(悬吊组),比较两组手术时间、术中出血量和术后恢复排气时间、术后疗效。结果悬吊组手术时间、术中出血量及术后排气时间分别是(91.8±19.6)m in,(79.6±21.8)m l,(25.6±4.3)h,切除组分别为(129.6±32.7)m in,(250.9±90.5)m l,(49.1±7.6)h;两组有显著差异(P<0.05)。术后疗效评价:悬吊组治愈率为86.0%(43/50),高于切除组的73.3%(22/30)(P<0.05)。结论经腹子宫悬吊加阴道前后壁修补术治疗子宫脱垂,手术时间短、术中出血少、术后排气早,疗效满意,值得推广。更多还原

【Abstract】 Objective To evaluate the methods and results of transvaginal hysterectomy and ventrifixation for treating uterine prolapse.Methods 80 cases of hysteroptosis underwent surgical remedy,including 30 of transvaginal hysterectomy(group T) and 50 of ventrifixation(group V).All cases were plus anterior & posterior vaginal wall repair. Results The operation time,intraoperative blood loss,intestinal recovery time was(91.8±19.6)min,(79.6±21.8) ml,(25.6±4.3)h in group V,and(129.6±32.7)min,(250.9±90.5) ml,(49.1±7.6)h in group T respectively.There were remarkable differences between two groups.The cure rate of group V was significant higher than that of group T(86.0% VS 73.3%,P<0.05).ConclusionsThe operation of ventrifixation plus anterior & posterior vaginal wall repair for hysteroptosis should be popularized with benefits as less operation time and blood loss,earlier intestinal recovery and content effect.更多还原