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目的:对经阴道手术治疗老年女性前盆腔器官脱垂临床疗效进行分析。方法:选取2009年12月~2012年12月我院收治的老年女性盆腔器官脱垂患者126例,随机分为2组患者,甲组患者62例,采用常规开腹手术治疗;乙组患者64例,采用经阴道手术治疗,对比2组患者的临床疗效。结果:乙组患者临床住院治疗时间、手术时间、术中出血量均显著优越于甲组患者,差异性显著,具有统计学意义(P<0.05)。术后1年随访对比2组患者的复发率,无明显差异性,无统计学意义(P>0.05)。2组患者均未发生因治疗导致的严重不良后果。结论:采用阴道途径进行老年女性前盆腔器官脱垂的手术治疗,可有效的缩短术后住院治疗时间、手术时间,降低术中出血量,安全性较高,显著改善患者生活质量和减轻经济负担,适宜依据患者情况应用和治疗。
Objective: To analyze the clinical effect of transvaginal surgery on anterior pelvic organ prolapse in elderly women. Methods: A total of 126 elderly patients with pelvic organ prolapse admitted to our hospital from December 2009 to December 2012 were randomly divided into 2 groups: group A (n = 62), conventional laparotomy; group B Cases, the use of transvaginal surgery, the clinical efficacy of two groups were compared. Results: The clinical inpatient treatment time, operation time and blood loss in group B were significantly superior to those in group A, with significant difference (P <0.05). There was no significant difference in the recurrence rate between the two groups after 1 year of follow-up (P> 0.05). None of the patients in the two groups experienced serious untoward consequences of treatment. Conclusion: Surgical treatment of anterior pelvic organ prolapse in the elderly women by vaginal approach can effectively shorten the postoperative hospitalization time, operation time, reduce intraoperative blood loss, higher safety, significantly improve the quality of life of patients and reduce the financial burden , Suitable for patient application and treatment.