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目的:探讨改良阴式手术治疗重度子宫脱垂的临床疗效。方法:选择我院68例重度子宫脱垂且伴阴道壁脱出的患者行改良阴式子宫切除术+阴道旁修补术。术后2a内定期随访。结果:手术时间缩短、术中失血量减少、术后病率、远期并发症如阴道脱垂等明显减少。术后随访平均1.5a,仅2例复发。主观治愈率100%,客观治愈率97.06%。结论:经过改良的阴式子宫切除术手术+阴道旁修补术手术时间短、术中失血少,能有效降低术后阴道顶端脱垂,是治疗重度子宫脱垂伴阴道壁脱垂的一种安全有效的方法。
Objective: To explore the clinical effect of modified vaginal surgery for severe uterine prolapse. Methods: 68 cases of severe uterine prolapse in our hospital with vaginal wall prolapse patients underwent modified vaginal hysterectomy + vaginal repair. Regular follow-up after 2a. Results: The operation time was shortened, the intraoperative blood loss was reduced, the postoperative morbidity and long-term complications such as vaginal prolapse were significantly reduced. After an average follow-up of 1.5a, only 2 cases of recurrence. Subjective cure rate of 100%, the objective cure rate of 97.06%. Conclusion: The modified vaginal hysterectomy + vaginal repair surgery short operative time, less blood loss, can effectively reduce postoperative vaginal prolapse prolapse, is a safe treatment of severe uterine prolapse with vaginal wall prolapse effective method.