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目的探讨改良阴式全子宫切除术治疗子宫脱垂手术技巧,减少并发症,提高治疗效果,防止脏器脱垂的复发。方法安徽省歙县人民医院2007年5月-2010年12月间以子宫脱垂为第一诊断患者58例,随机抽取其中37例子宫脱垂患者采用改良阴式全子宫切除术,即:经典阴式全子宫切除及阴道前后壁修补加阴道残端采取全层两个半荷包缝合法治疗,分析手术中出血、手术副损伤、阴道残端愈合、阴道壁脱垂复发率等情况。结果 37例患者无膀胱、直肠及输尿管损伤,无内出血,术后恢复好,阴道顶端光滑,无阴道残端息肉的生长。分别随访6～48个月,无一例脏器脱垂复发。结论改良阴式全子宫切除术及阴道壁修补术治疗子宫脱垂,是安全、有效的治疗方法。
Objective To investigate the technique of modified vaginal hysterectomy for the treatment of uterine prolapse, reduce the complications, improve the therapeutic effect and prevent the recurrence of organ prolapse. Methods Xu County People’s Hospital of Anhui Province from May 2007 to December 2010 to uterine prolapse as the first diagnosis of 58 patients were randomly selected 37 cases of uterine prolapse in patients with modified vaginal hysterectomy, namely: classic Vaginal hysterectomy and vaginal anterior and posterior wall repair plus vaginal stump to take full-thickness two and a half purse suture treatment, analysis of bleeding during surgery, surgical injury, vaginal stump healing, recurrence rate of vaginal wall prolapse and so on. Results 37 patients had no bladder, rectum and ureter injury, no internal bleeding, postoperative recovery, vaginal apical smooth, no vaginal stump polyps growth. Were followed up for 6 ~ 48 months, no case of organ prolapse recurrence. Conclusion Improved vaginal hysterectomy and vaginal wall repair of uterine prolapse, is a safe and effective treatment.