改良“桥”式修补术治疗阴道前后壁膨出的临床体会  

Clinical experience of improved "bridge" repair in the treatment of vaginal prolapse

作　　者：谢淑红 董小瑞 XIE Shu-hong;DONG Xiao-rui(Jiaozuo Second People's Hospital,Henan Province,454000,China)

机构地区：[1]焦作市第二人民医院,河南焦作454000

出　　处：《中国医疗美容》2020年第2期35-38,共4页China Medical Cosmetology

摘　　要：目的评价改良"桥"式修补术治疗阴道前后壁膨出的临床效果,总结该术式的临床经验。方法选择2018年1月~2019年1月期间采用改良"桥"式修补术治疗的阴道前后壁膨出患者32例纳入观察组,同期采用传统修补术治疗的32例阴道前后壁膨出患者纳入对照组。总结两组患者的临床资料、手术经过,评价其术后效果。结果两组患者手术时间、术中出血量、术后阴道宽度比较差异无统计学意义(P>0.05)。观察组阴道长度高于对照组,PFDI评分低于对照组,差异有统计学意义(P>0.05)。观察组术后1年内复发1例,少于对照组复发4例,但差异无统计学意义(P>0.05)。结论改良"桥"式修补术治疗阴道前后壁膨出,组织固定可靠,术后盆底功能良好,复发率低,值得推广。Objective To evaluate the clinical effect of the modified "bridge" repair for the treatment of vaginal prolapse,and to summarize the clinical experience of the operation.Methods From January 2018 to January 2019,32 patients with vaginal prolapse treated by modified "bridge" repair were included in the observation group,and 32 patients with vaginal prolapse treated by traditional repair were included in the control group.To summarize the clinical data and operation process of the two groups,and to evaluate the postoperative effect.Results There was no significant difference between the two groups in operation time,intraoperative bleeding volume and postoperative vaginal width (P﹤ 0.05).The length of vagina in the observation group was higher than that in the control group,and the pfdi score was lower than that in the control group (P﹤ 0.05).There was 1 case of recurrence in the observation group within 1 year,less than 4 cases in the control group,but the difference was not statistically significant (P﹥0.05).Conclusion The improved "bridge" repair method is suitable for the treatment of vaginal prolapse with reliable tissue fixation,good pelvic floor function and low recurrence rate.

关 键 词：阴道前后壁膨出 改良“桥”式修补术 盆底器官脱垂 

分 类 号：R713.33[医药卫生—妇产科学]