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目的:通过对老年妇女子宫脱垂,无性生活要求或伴有严重内科疾病,无法耐受大手术,采取改良式阴道纵隔成形术患者的临床疗效观察并与阴道斜隔成形术对比,探讨其可行性及远期效果。方法:对该院2008年1月~2009年12月在妇科行改良式阴道纵隔成形术38例及阴道斜隔成形术10例病例病史记录,手术时间,术中出血,术后恢复进行系统回顾性分析。结果:改良式阴道纵隔成形术手术时间短,术中出血少,术后恢复快,避免了尿失禁,术后患者疼痛轻,恢复快,术后随诊6~12月无明显并发症。结论:改良式阴道纵隔成形术安全、有效,并且简单、易掌握,减少疾病的复发,值得基层医院推广应用。
OBJECTIVE: To investigate the clinical efficacy of modified vaginal mediaoplasty in elderly women with uterine prolapse, asexual life or severe medical problems, and inability to tolerate major surgery, and compare with vaginal oblique angioplasty Sexual and long-term effects. Methods: The hospital from January 2008 to December 2009 in gynecological 38 cases of modified vaginal mediastinoplasty and vaginal septoplasty in 10 cases history records, operation time, intraoperative bleeding, postoperative recovery system review Sexual analysis. Results: The modified vaginal mediastinoplasty had short operation time, less intraoperative bleeding, faster recovery after operation, avoided urinary incontinence, postoperative pain relief and rapid recovery. There was no obvious complication after 6 to 12 months of follow-up. Conclusion: Modified vaginal mediastinal angioplasty is safe, effective, simple, easy to grasp and reduce the recurrence of diseases, it is worth to promote the use of grass-roots hospitals.