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目的探讨子宫脱垂相关因素及手术治疗的效果。方法对58例子宫脱垂患者资料进行回顾性分析,研究脱垂程度与年龄、绝经年限等关联情况,并观察传统手术方式治疗效果。结果58例患者中,子宫脱垂Ⅰ、Ⅱ、Ⅲ者分别为16、28、14例,均合并不同程度的阴道壁膨出。全部患者均经手术治疗,手术方式为经阴道子宫全切除+阴道前后壁修补术、曼氏手术、阴道前后壁修补术等。手术平均手术时间126.3 min,术中平均出血量167.1 mL,住院天数平均7.4 d,均痊愈出院。术后随访无症状性复发。结论传统的手术方式能有效地治疗子宫脱垂,存在一定的不足尚需改进。
Objective To investigate the related factors of uterine prolapse and the effect of surgical treatment. Methods The data of 58 cases of uterine prolapse were analyzed retrospectively to study the association between the degree of prolapse and age, menopause and so on, and to observe the effect of traditional surgical methods. Results 58 cases of uterine prolapse Ⅰ, Ⅱ, Ⅲ were 16,28,14 cases, were associated with varying degrees of vaginal wall bulging. All patients were surgically treated by transvaginal hysterectomy hysterectomy + vaginal wall repair, Man’s surgery, vaginal anterior and posterior wall repair and so on. The average operative time was 126.3 minutes, the average amount of intraoperative bleeding was 167.1 mL and the average number of days of hospitalization was 7.4 days. All cases were cured. Postoperative follow-up of asymptomatic recurrence. Conclusion The traditional surgical methods can effectively treat uterine prolapse, there are some shortcomings still need improvement.