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目的探讨自体组织桥式修复术治疗阴道前后壁膨出的临床效果。方法回顾分析桦甸市人民医院2009～2010年23例行改良式“桥”式修复术治疗阴道前后壁膨出的患者,观察手术时间、术中出血及并发症、远期复发情况,依据盆腔器官脱垂定量分期法(pelvic organ prolaps quantitation,POP-Q)分度对比手术前后Ba点和Bp点变化评价疗效。结果改良式“桥”式修复术缝合时间(32±3.6)min,术中出血量(45.8±5.3)ml,无手术并发症。术后随访2～3年,最短1年,无1例复发。结论自体组织桥式修复术简便易行,体现了自体移植的优势,临床效果满意,是适宜基层医院推广应用的术式。
Objective To investigate the clinical effect of autologous tissue bridge repair in treating anterior vaginal wall swelling. Methods A retrospective analysis of 23 cases of modified “bridge” type repair in the treatment of vaginal anterior and posterior wall bulging in Huadian City People’s Hospital from 2009 to 2010 was conducted. The operative time, intraoperative bleeding and complications, long-term recurrence, The efficacy of pelvic organ prolaps quantitation (POP-Q) was compared with the change of Ba and Bp points before and after surgery. Results Modified “bridge” repair suture time (32 ± 3.6) min, intraoperative blood loss (45.8 ± 5.3) ml, no surgical complications. Follow-up 2 to 3 years, the shortest 1 year, no recurrence in 1 case. Conclusion Autologous tissue bridge repair is simple and easy, which reflects the advantages of autologous transplantation. The clinical effect is satisfactory. It is suitable for the promotion and application of primary hospital.