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目的探讨运用阴道前壁桥式缝合术治疗阴道前壁脱垂的临床疗效。方法选取2011年4月~2013年8月间该院收治的阴道前壁脱垂的患者100例,随机分为对照组和观察组,每组50例。观察组采用阴道前壁缝合术,对照组采用传统前壁修补术,比较两组患者手术时间、术中出血量和术后Bp点均值;术后对两组患者进行为期12个月的随访,观察治疗效果和病情复发情况。结果观察组患者的手术时间和术中出血量均明显低于对照组,差异有统计学意义(P<0.01);观察组患者术后Bp点均值明显大于对照组患者,差异有统计学意义(P<0.05)。观察组患者治疗总有效率明显高于对照组患者,差异有统计学意义(P<0.01)。结论阴道前壁桥式缝合术疗效明显优于传统术式,创伤小,手术用时短,病情复发率低,推广应用。
Objective To investigate the clinical effect of anterior vaginal wall suture in treating anterior vaginal wall prolapse. Methods 100 cases of vaginal anterior wall prolapse admitted from April 2011 to August 2013 in our hospital were randomly divided into control group and observation group with 50 cases in each group. The observation group was treated with anterior vaginal suture, while the control group was treated with traditional anterior wall repair. The operation time, intraoperative blood loss and postoperative Bp mean were compared between two groups. After 12 months follow-up, Observed the treatment effect and the recurrence of the disease. Results The operation time and intraoperative blood loss in the observation group were significantly lower than those in the control group (P <0.01). The mean Bp in the observation group was significantly larger than that in the control group (P <0.01) P <0.05). The total effective rate of observation group patients was significantly higher than that of the control group, the difference was statistically significant (P <0.01). Conclusions The curative effect of anterior vaginal wall suture is obviously superior to the traditional operation, with less trauma, shorter operative time, lower recurrence rate and popularization and application.