经腹子宫切除并膀胱直肠膨出修复术  

Abdominohysterectomy and Simultaneously Transabdominal Repair of Cystorectocele

作　　者：徐虹[1] 涂持坤[1] 

机构地区：[1]天津市第一中心医院妇产科,300192

出　　处：《天津医药》2002年第7期405-407,共3页Tianjin Medical Journal

摘　　要：目的:探讨女性生殖器疾患合并生殖器脱垂经腹1次完成的新术式。方法:研究组58例均患有生殖器疾患,合并有不同程度的子宫脱垂及阴道前后壁膨出,经腹行子宫附件切除并阴道前后壁修补术。对照组38例腹式子宫附件切除加阴式阴道前后壁修补。结果:研究组手术时间为1h 20min～2 h 10min,平均为1h 42min。对照组为 2h～3 h 20min,平均2 h 31min（P<0.01）。平均出血量分别为152mL、303mL（P<0.01）。结论:开腹直视下手术操作解剖关系清楚,操作简化,较阴式手术难度小,创伤小,不易损伤膀胱、输尿管、直肠等周围脏器,且血管结扎、韧带悬吊牢靠,意外情况发生少,出血少,手术时间短。有利患者术后恢复。Objective: To investigate a new way of operation to cure female genital diseases complicated by prolapse of genitalia. Methods: Ninety-six patients with genital diseases complicated by different stages of uterine prolapse and cystorectocele were divided into two groups: a study group(n =58) and a control group(n =38). Abdominohysterectomy, salpingo-oophorectomy, transabdominal antero and postero-colporrhaphy were conducted in study group. Abdominohysterectomy, salpingo-oophorectomy, vaginal antero- and postero-colporrhaphy were performed in control group. Results:The average operaton times in study group and control group were 80~130 (mean: 102)and 120-200( mean: 151)minutes respectively(P < 0.001) .The average volumes of hemorrhage in study group and control group were 152 and 303 ml respectively( P < 0.001). Conclusion: The transabdominal repair is better than the vaginal repair because of its many advantages, such as easier manipulation, less lesion and bleeding,shorter operation time and better postoperation rehabilitation etc.

关 键 词：经腹子宫切除 膀胱直肠膨出 修复术 子宫脱垂 

分 类 号：R711.23[医药卫生—妇产科学] R713.42[医药卫生—临床医学]