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目的探讨桥式缝合术治疗阴道前壁脱垂的临床疗效。方法回顾性分析2010年01月至2013年01月,于我院就诊手术治疗的阴道前壁脱垂52例患者的临床资料,分为A、B两组,其中A组32例患者采用阴道前壁桥式缝合术,B组20例采用传统的阴道前壁修补术,比较两种术式的疗效。结果 A组采用阴道前壁桥式缝合术的手术时间为(20.90±3.00)min,术中出血量为(20.10±5.50)mL,术后复发率为3.57%,与传统术式手术时间(45.80±6.90)min,术中出血量(75.45±8.80)mL,术后复发率25.00%,差异具有统计学意义(P<0.05)。结论桥式缝合术治疗阴道前壁脱垂与传统术式比较,具有手术时间较短、术中出血量少、术后复发率较低,临床效果满意。
Objective To investigate the clinical effect of bridge suture in treating anterior vaginal wall prolapse. Methods The clinical data of 52 patients with vaginal anterior wall prolapse in our hospital from January 2010 to January 2013 were retrospectively analyzed and divided into A and B groups, of which 32 cases in group A were treated with vaginal Wall bridge suture, 20 cases of group B using the traditional vaginal anterior repair, the efficacy of the two surgical procedures. Results The operative time of vaginal anterior wall bridge suture in group A was (20.90 ± 3.00) min, and the intraoperative bleeding was (20.10 ± 5.50) mL. The recurrence rate was 3.57% in group A, ± 6.90) min, blood loss (75.45 ± 8.80) mL, postoperative recurrence rate was 25.00%, the difference was statistically significant (P <0.05). Conclusion Bridge suture treatment of anterior vaginal wall prolapse compared with the traditional surgical procedures, with shorter operation time, less blood loss, postoperative recurrence rate is low, the clinical effect is satisfactory.