改良阴式子宫切除术治疗老年女性子宫脱垂的临床疗效分析  

Clinical analysis on the effectiveness of modified vaginal hysterectomy for the treatment of uterine prolapse in elderly women

作　　者：金友存 华玉蓉 王佩佩 蔡钱根 Jin Youcun;Hua Yurong;Wang Pei pei;Cai Qiangen(Department of Obstelrics and Gynecology,Affiliated Hospital of Jiangnan University,Wuxi 214000,China Corres ponding auth)

机构地区：[1]江南大学附属医院妇产科,无锡214000

出　　处：《中华老年医学杂志》2021年第9期1169-1172,共4页Chinese Journal of Geriatrics

摘　　要：目的探讨改良阴式子宫切除术治疗老年妇女子宫脱垂的临床疗效。方法选取2017年1月至2020年8月在江南大学附属医院进行治疗的老年子宫脱垂患者82例为观察对象,依据随机双盲的原则将其分为对照组和观察组,每组41例;对照组予以传统阴式子宫切除术治疗,观察组予以改良阴式子宫切除术治疗。比较两组患者的手术指标(手术耗时、术中出血量以及住院时间),临床总有效率以及并发症发生率。结果观察组临床治疗总有效率高于对照组[97.6%和78.0%,χ^(2)=7.291;P<0.05];观察组手术耗时[(71.3±15.5)min和(122.7±22.2)min,t=7.379,P=0.008]、术中出血量[(122.5±15.3)ml和(297.7±20.7)ml,t=9.820,P=0.000]、住院时间[(7.2±1.5)d和(10.0±2.9)d,t=7.164,P=0.014]和并发症发生率(0.0%和14.6%,χ^(2)=7.159,P<0.05)均低于对照组。结论老年子宫脱垂患者采用改良阴式子宫切除术治疗有助于患者临床效果的提高,且可以有效地缩短手术时间,减少术后住院时间,降低术后并发症发生率。Objective To examine the clinical effectiveness of modified vaginal hysterectomy for the treatment elderly women with uterine prolapse.Methods Eighty-two elderly patients with uterine prolapse treated in the Affiliated Hospital of Jiangnan University from January 2017 to August 2020 were selected as research subjects,who were randomly and double-blindly divided into the control group and the observation group,with 41 patients in each group.The control group was treated with traditional vaginal hysterectomy,while the observation group was treated with modified vaginal hysterectomy.Surgical parameters(operating time,intraoperative blood loss and length of hospital stay),total clinical effectiveness rates and the incidences of complications in the two groups were compared.Results The total effectiveness rate of the observation group was higher than that of the control group(97.6%us.78.0%,χ^(2)=7.291;P<0.05).The operation time[(71.3±15.5)min us.(122.7±22.2)min,t=7.379,P=0.008],intraoperative blood loss[(122.5±15.3)ml vs.(297.7±20.7)ml,t=9.820,P=0.000]and hospitalization time[(7.2±1.5)d Us.(10.0±2.9)d,t=7.164,P=0.014]of the observation group were lower than those of the control group.The incidence of complications in the observation group was lower than that in the control group(0.0%vs.14.6%,χ^(2)=7.159,P<0.05).Conclusions Modified vaginal hysterectomy for elderly patients with uterine prolapse can help improve the clinical effectiveness and reduce the operating time,postoperative length of hospital stay and the incidence of postoperative complications.

关 键 词：子宫切除术 阴道式 子宫脱垂 

分 类 号：R713.4[医药卫生—妇产科学]