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目的:探讨宫颈部分切除加阴道前后壁桥式修补治疗子宫脱垂的有效性及安全性。方法:回顾性分析该院对42例子宫I、II度脱垂合并宫颈延长、阴道前后壁膨出患者分别采用传统曼氏手术即宫颈部分切除加阴道前后壁修补19例(传统组),宫颈部分切除加阴道前后壁桥式修补术23例(桥式组)。结果:随访2年传统手术组19例4例复发,桥式组23例无复发,桥式手术组23例均愈合良好,无手术并发症发生,成功率100%。结论:宫颈部分切除加阴道前后壁桥式修补术具有创伤小、恢复快、复发率低、提高性生活质量等优点,尤其适合年轻女性,值得临床推广。
Objective: To investigate the effectiveness and safety of wall-bridge repair before and after cervical partial resection plus vagina in the treatment of uterine prolapse. Methods: A retrospective analysis of 42 cases of uterus in I, II degrees of prolapse and cervical extension, anterior vaginal wall before and after bulging patients were treated with traditional Mansfield surgery that part of the cervix and vaginal anterior and posterior wall repair in 19 cases (traditional group), cervix Partial resection plus vaginal wall repair in 23 cases (bridge group). Results: In the 2 years of follow-up, 19 patients in the traditional operation group recurred in 4 cases. There was no recurrence in 23 patients in the bridge type group. All 23 patients in the bridge operation group healed well without complications and the success rate was 100%. Conclusion: Partial cervical resection plus vaginal wall bridge repair with less trauma, rapid recovery, low recurrence rate, improve the quality of life and other advantages, especially for young women, is worthy of clinical promotion.