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本文总结了5个医院手术治疗子宫脱垂病例676例,分析了发病原因及手术治疗效果。本组病例发病年龄以30～49岁为多,占54.89%。脱垂时间在5年以上者占59.61%。最长者33年。发病原因与生育关系密切,大都由于会阴裂伤未经缝合,产后又过早劳动所致。本组病历所进行的手术种类有20种以上。追访345例,从术后半年至20年的患者,其中有效率为94.79%,复发率5.21%。从病例分析中体会到曼氏手术简单、有效、安全、经济、局麻或针麻下可顺利开展手术,适用于农村。
This article summarizes the operation of 5 hospitals in 676 cases of uterine prolapse, analysis of the causes and surgical treatment. The incidence of this group of patients aged 30 to 49 years, accounting for 54.89%. Prolapse time of more than 5 years accounted for 59.61%. The longest 33 years. The causes of etiology and fertility are closely related, mostly due to perineal laceration without suturing, postpartum caused by premature labor. There are more than 20 types of surgeries in this group. Follow-up of 345 cases, from six months to 20 years after surgery, the effective rate was 94.79%, the recurrence rate of 5.21%. From the case analysis of Man’s surgery to understand the simple, effective, safe, economical, local anesthesia or acupuncture can be carried out smoothly surgery, suitable for rural areas.