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目的:探讨手术治疗女性盆底结构损伤性疾病的可行性治疗措施,及术后复发的预防。方法:回顾性地分析140例女性盆底损伤性疾病的手术方式及术前术后的注意事项和复发的预防。结果:140例子宫脱垂及阴道脱垂患者中,136例经阴道手术效果满意、4例经腹手术后,因阴道前壁膨出则再次手术。结论:阴道式子宫切除+阴道前后壁修补+阴道残端高位悬吊术为中重度子宫脱垂首选术式。若经腹手术同时应行阴道前壁修补术,术前术后必须综合治疗,以预防术后复发。
Objective: To explore the feasibility of surgical treatment of pelvic floor structural lesions in women, and the prevention of postoperative recurrence. Methods: A retrospective analysis of 140 cases of female pelvic floor injury surgical methods and precautions and recurrence prevention. Results: In 140 cases of uterine prolapse and vaginal prolapse patients, 136 cases were satisfied with the results of transvaginal surgery, 4 cases after transabdominal surgery, because of anterior vaginal wall bulging re-operation. Conclusions: Vaginal hysterectomy + vaginal anterior and posterior wall repair + vaginal stump high suspension is the preferred surgical procedure for moderate and severe uterine prolapse. If the abdominal surgery should be carried out simultaneously with vaginal anterior repair, preoperative and postoperative must be comprehensive treatment to prevent postoperative recurrence.