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目的探讨治疗老年子宫脱垂阴道手术术式。方法回顾性分析桂林市第二人民医院2003-01-2010-01收治老年子宫脱垂患者19例,按不同术式分为两组,即阴道纵隔成形术(术式Ⅰ)和经阴道子宫全切及阴道前后壁修补术(术式Ⅱ)。比较两组术中出血、手术时间、术后排气、术后排尿、术后排便、住院天数。结果阴道纵隔成形术(术式Ⅰ)术中出血、手术时间明显低于经阴道子宫全切及阴道前后壁修补术(术式Ⅱ)(P<0.05),术后排气、术后排尿、术后排便、住院天数差异无统计学意义(P>0.05)。19例子宫脱垂患者手术全部成功,无一例发生膀胱、直肠等副损伤。结论阴道纵隔成形术(术式Ⅰ)对于老年患者具有创伤小、康复快、不易复发等优点,安全可行,值得推广。
Objective To explore the treatment of vaginal surgery in elderly patients with uterine prolapse. Methods A retrospective analysis of Guilin Second People’s Hospital 2003-01-2010-01 admitted to the elderly 19 cases of uterine prolapse, according to different surgical procedures were divided into two groups, namely, vaginal mediastinal angioplasty (surgical Ⅰ) and vaginal uterine all Cut and vaginal repair before and after the wall (type Ⅱ). The two groups were compared intraoperative bleeding, operation time, postoperative exhaust, postoperative urination, postoperative defecation, hospitalization days. Results Intraoperative vaginal mediastinal angioplasty (operation Ⅰ) bleeding time was significantly lower than vaginal hysterectomy and vaginal anterior and posterior wall repair (operation Ⅱ) (P <0.05), postoperative exhaust, postoperative urination, Postoperative bowel movements, hospital days was no significant difference (P> 0.05). 19 cases of uterine prolapse patients were all successful surgery, no case of bladder, rectum and other side effects. Conclusion Vaginal mediastinoplasty (surgery Ⅰ) has the advantages of less trauma, faster recovery and less recurrence in elderly patients, which is safe and feasible and worthy of popularization.