The curative effect analysis of laparoscopic assisted suspension surgery at the top of vagina in the treatment of postmenopausal uterine prolapse
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摘要: 目的：评价腹腔镜辅助下阴式全子宫切除+阴道顶端悬吊术治疗绝经后妇女子宫脱垂的效果。方法：将腹腔镜辅助下阴式全子宫切除+阴道顶端悬吊术治疗的21例绝经后子宫脱垂患者作为观察组，选取同期行阴式全子宫切除术的绝经后子宫脱垂患者15例作为对照组。比较2组的手术时间、手术出血量、并发症及随访24个月手术后的生活改善情况。结果：2组患者在手术出血量、手术时间、住院时间以及术后的腹部下坠感、憋尿时间、阴道穹窿膨出方面差异均有统计学意义(P0.01)。结论：腹腔镜辅助下全子宫切除术联合阴道顶端悬吊术治疗绝经后妇女子宫脱垂具有创伤小、疗效好、术后恢复快的优点。Abstract: Objective:To evaluate the curative effects of laparoscopic assisted transvaginal hysterectomy(LAVH)combined with suspension surgery at the top of vagina in the treatment of postmenopausal uterine prolapse.Methods:Twenty-one patients with uterine prolapse treated with LAVH combined with suspension surgery at the top of vagina were set as the observation group,15 patients with uterine prolapse treated with transvaginal hysterectomy were set as the control group.The operation time amount of bleeding,complications and life improvement after following up for 24 months in two groups were compared.Results:The operation time,amount of bleeding and hospitalization and postoperative abdominal straining feeling,time of a full bladder and bulging vaginal fornix between two groups had statistical significance(P0.01).Conclusions:LAVH combined with suspension surgery at the top of vagina in the treatment of postmenopausal uterine prolapse is less trauma,good effects and qucik recovery.
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Keywords:
- uterine prolapse /
- laparoscopes /
- hysterectomy /
- postmenopause
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