摘要
目的探讨老年妇女子宫脱垂手术治疗的可行性、并发症及复发的预防,从而寻找最合适的术式。方法根据子宫脱垂的程度选择手术方式、术中技巧要点及术前术后并发症和复发的预防措施。回顾分析该院自2003年1月～2009年12月收治60岁以上139例子宫脱垂患者。结果 139例手术顺利,术后效果良好,手术时间:阴式全宫加阴道前后壁修补术最长,平均120 min;其次为曼氏手术,平均72 min;阴道纵隔成形术最短,平均45 min;术中出血量为平均135 mL、110 mL及72 mL,各组之间差异有显著性(P<0.05)。结论手术方式的选择必须综合考虑各方面因素,需严格个体化,对患者术前应正确评估其机能状态,查明和治疗并发的疾病,正确选择能够恢复正常解剖关系和预防术后复发的手术方案,是保证手术治疗效果的关键。
【Objective】 Study the surgical treatment of elderly women＇s uterine prolapse,feasibility,complications,and prevention of recurrence,to find the most appropriate procedures.【Methods】 According to the degree of uterine prolapse of operation and choice of skill points preoperatively and postoperative complications and relapse prevention measures were analyzed retrospectively.From 2009.12 to 2003.1,139 patients including over 60 patients with uterine prolapse.【Results】 139 patients after operation,good effect,the timing of the operation of the palace,with vaginal wall repair and 120 minutes;the longest on average;Secondly,the average operation for mansoni 72 minutes,vaginal mediastinum,average angioplasty shortest 45 minutes,peri-operative bleeding so for average 135 milliliter,110 milliliter,72 milliliter,there is a significant difference between groups（P 0.05）.【Conclusion】 Considered all aspects in patients chosing including correctly individualized preoperative evaluation,the function and form of the disease.The key to guarantee the success of the operation was correct chose operation scheme to asure restore the normal anatomy and prevent recurrence.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2011年第14期1677-1679,1682,共4页
China Journal of Modern Medicine
关键词
手术治疗
老年妇女
子宫脱垂
surgical treatment
elderly women
uterine prolapse
