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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效果。方法:选择2010年10月~2014年1月收治的老年子宫脱垂患者50例,根据随机数字表法将其分为研究组与对照组,每组各25例。对照组患者行传统阴式子宫切除术,研究组患者行改良阴式子宫切除术治疗。观察两组临床疗效、手术时间、术中出血量、住院时间及术后并发症发生率。结果:研究组总有效率为96.00%,对照组总有效率为76.00%,研究组治疗的总有效率明显高于对照组,差异有统计学意义(P<0.05)。研究组手术时间、术中出血量和住院时间均显著低于对照组(P<0.05)。术后随访9~12个月,研究组随访期间无1例出现阴道残端脱垂及肠疝,无大小便失禁,性生活无异常。对照组2例出现阴道残端脱垂,1例术后1年出现肠疝。结论:改良阴式子宫切除术治疗老年妇女子宫脱垂不仅具有显著疗效,而且安全性高,适合临床推广与应用。
Objective: To explore the clinical effect of modified vaginal hysterectomy on uterine prolapse in elderly women. Methods: 50 elderly patients with uterine prolapse who were admitted from October 2010 to January 2014 were divided into study group and control group according to the random number table method, with 25 cases in each group. The control group patients underwent traditional vaginal hysterectomy, study group patients underwent modified vaginal hysterectomy. The clinical curative effect, operation time, intraoperative blood loss, hospitalization time and postoperative complication rate were observed. Results: The total effective rate was 96.00% in the study group and 76.00% in the control group. The total effective rate of the study group was significantly higher than that of the control group (P <0.05). The operation time, intraoperative blood loss and hospital stay of the study group were significantly lower than those of the control group (P <0.05). During the follow-up period of 9 to 12 months, none of the patients in the study group had vaginal stump prolapse and intestinal hernia, no incontinence and no abnormal sexual life. The control group 2 cases of vaginal stump prolapse occurred, 1 case of intestinal hernia after 1 year. Conclusion: Modified vaginal hysterectomy for the treatment of uterine prolapse in elderly women not only has a significant effect, but also high safety, suitable for clinical promotion and application.