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目的:对老年重度子宫脱垂伴全阴道膨出的临床特点及手术治疗进行探讨分析。方法:选取我院在2010年4月~2013年4月收治进行了经阴道全子宫全阴道切除术进行重度子宫脱垂伴全阴道膨出治疗的患者共50例,对患者临床特征和手术治疗等临床资料进行回顾性分析。结果:50例患者的手术时间为49~84分钟,平均时间为71分钟;出血量在350~400mL,平均出血量为375mL;术后排气时间为19~29小时,平均排气时间为24.34±4.21小时,术后病率为0。患者在手术后均未出现感染、出血等并发症。6~24个月对患者进行随访,无1例复发。结论:采用全阴道切除术治疗重度子宫脱垂伴全阴道膨出,具有手术彻底、腹部无损伤,术后疼痛感轻且肠道蠕动功能恢复快等特点,具有对腹腔内脏干扰小且疗效确切等优势,值得临床推广。
Objective: To investigate the clinical features and surgical treatment of severe prolapse of uterus with full vaginal prolapse. Methods: A total of 50 patients with severe uterine prolapse and total vaginal prolapse underwent total vaginal hysterectomy in our hospital from April 2010 to April 2013 were selected. The clinical characteristics and surgical treatment Clinical data such as retrospective analysis. Results: The operation time of 50 patients was 49-84 minutes with an average of 71 minutes. The bleeding volume was 350-400 mL with an average blood loss of 375 mL. The postoperative exhaust time was 19-29 hours, and the average exhaust time was 24.34 ± 4.21 hours, postoperative morbidity was 0. Patients in the surgery were not infected, bleeding and other complications. Patients were followed up for 6 to 24 months without recurrence. CONCLUSION: Total vaginal resection for severe uterine prolapse with full vaginal prolapse has the characteristics of complete operation, no injury to the abdomen, mild postoperative pain and rapid recovery of intestinal peristalsis. It has the advantages of small perturbation to the abdominal viscera and exact curative effect And other advantages, it is worth clinical promotion.