摘要
目的 :探讨治疗老年子宫脱垂三种术式的安全性及可行性 ,为患者寻找最适合的术式。方法 :回顾分析 1994～ 2 0 0 0年我院妇科收治的 93例老年子宫脱垂患者的临床资料 ,对手术时间、失血量、术后并发症及复发情况等进行分析。结果 :手术时间 :阴式全宫加阴道前后壁修补术最长 ,平均116 min,其次为曼市手术 ,平均 75min,阴道纵隔成形术最短 ,平均 4 8min;术中出血量依次为平均130 ml,115ml,75ml,各组之间差异有显著性 (P<0 .0 5) ;仅曼市手术组有 1例复发 ;纵隔成形术组有 2例术后发生子宫内膜癌。结论 :阴式全宫手术术式复杂 ,适合年轻、体质好的患者 ,曼市手术有复发的可能 ,适合脱垂较轻、宫颈长及肥大的患者 ,纵隔成形术安全、简单 。
Objective: To explore the safety and possibilities of 3 kinds of surger ies in senile uterine prolapse(SUP)and t hen find the best one.Method:We reviewed 93 cases SUP during 1994 2000,and analyz ed the operating time,bloodloss volume, complication and the relapse.Resu lt:The optrating time and blood loss volume of the transvaginal total hysterec tomy(TT H).Manchester, operation(MO)and partial c olpocleisis(PC)is 116min,130ml;75min115m l;48min,75ml,respective ly.Theres signi ficant difference amony them(P<0.05).Onl y one from the MO group relapse;2 from P C group complicated with carcinoma of th e endometrium.Conclusion;T he TTH is comp lex,suitable to young patients;MO has po ssibilities of relapse,suitable to the n ot sever and fat cervix; PC is simple an d safe suitable to the senile.
出处
《河北医学》
CAS
2001年第7期609-611,共3页
Hebei Medicine
