纠正前中盆腔缺陷的简式阴道旁修补术

doi:10.6040/j.issn.1671-7554.0.2022.0120

摘要/Abstract

摘要： 目的探讨简式阴道旁修补术治疗前中盆腔缺陷(即阴道前壁脱垂合并子宫脱垂)的临床价值。方法前瞻观察性研究41例有临床症状的阴道前壁脱垂合并子宫脱垂的患者。41例均采取简式阴道旁修补术,术后定期随访患者的主观感觉及客观查体情况。结果 41例手术均成功实施,平均手术时间(56.6±18.6)min,中位失血量150.0(50.0, 200.0)mL。中位随访时间12个月(范围6~23个月),5例失访。3例出现复发,但2例无自觉不适。1例出现阴道疼痛。客观治愈率为91.7%,主观治愈率为94.4%。结论简式阴道旁修补术是一种安全有效地、治疗阴道前壁脱垂并子宫脱垂的新术式。

关键词: 简式阴道旁修补术, 阴道前壁脱垂, 子宫脱垂, 前盆腔缺陷, 中盆腔缺陷

Abstract: Objective To investigate the clinical value of simplified paravaginal repair in the treatment of anterior and middle pelvic floor defect(namely anterior vaginal prolapse and uterine prolapse). Methods This prospective observational study involved 41 consecutive patients with typical anterior vaginal prolapse and uterine prolapse. All patients received simplified paravaginal repair. The subjective symptoms and objective results of physical examinations were recorded during regular follow-up. Results All operations were successful. The average operation time was(56.6±18.6)min, and the median blood loss was 150.0(50.0, 200.0)mL. During the median follow-up of 12 months(range, 6-23 months), 5 cases were lost, 3 cases had relapse, but 2 of which were asymptomatic, and 1 case had vaginal pain. The objective and subjective cure rate was 91.7% and 94.4%, respectively. Conclusion Simplified paravaginal repair, as a novel surgical procedure, is safe and effective for treating anterior vaginal prolapse and uterine prolapse.

Key words: Simplified paravaginal repair, Anterior vaginal prolapse, Uterine prolapse, Anterior pelvic floor defect, Middle pelvic floor defect

中图分类号:

R713.3

张颖,周静,王长河. 纠正前中盆腔缺陷的简式阴道旁修补术[J]. 山东大学学报 (医学版), 2022, 60(9): 102-107.

ZHANG Ying, ZHOU Jing, WANG Changhe. Simplified paravaginal repair for both anterior and middle pelvic floor defect[J]. Journal of Shandong University (Health Sciences), 2022, 60(9): 102-107.

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