子宫脱垂前后壁修补改良桥式修补法20例临床分析.docVIP

子宫脱垂前后壁修补改良桥式修补法20例临床分析 　　[摘要] 目的 探讨改良的桥式修补法治疗子宫脱垂的临床疗效。 方法 选取2011年3月～2013年3月来我院就诊的40例子宫脱垂患者，分为对照组和实验组，每组各20例，对照组采用传统法治疗；实验组采用改良的桥式法治疗，观察两组患者术中出血量、手术时间及复发率和并发症发生率。 结果 两组患者术中出血量及手术时间比较，差异无统计学意义（P0.05）； 对照组并发症发生率为30%、复发率为25%、性生活评分为（26.56±1.79）；实验组患者并发症发生率为0、复发率为0、性生活质量评分为（35.11±1.19），组间两两比较，差异均有统计学意义（P0.05）。结论 改良的桥式修补法治疗子宫脱垂的复发率及并发症发生率较低，值得临床推广。 　　[关键词] 子宫脱垂；改良桥式法；复发率；并发症 　　[中图分类号] R713 [文献标识码] B [文章编号] 1673-9701（2013）36-0140-02 　　Improved bridge repair methods used to treat anterior and posterior wall of uterine prolapse： A clinical analysis of 20 cases 　　LI Xuemei 　　Department of Obstetrics and Gynecology，the Peoples Hospital of Yongfeng County，Yongfeng 331500，China 　　[Abstract] Objective To investigate the clinical efficacy of uterus prolapse treated by improved bridge repair method.Methods Forty patients who were adopted in our hospital from March 2011 to March 2013 were chosen as research objects，and divided into control group and experimental group with 20 cases in each. The control group was treated with traditional method and the experimental group was treated with improved bridge repair method.The clinical efficacy，and recurrence and complication rate of patients in two groups were compared. Results The intraoperation blood loss and operation time between patients of two groups had no significant difference（P0.05）. The control group’s recurrence rate was 25%，complication occurrence was 30%，the sex score of （26.56±1.79） and the experimental group’s recurrence rate was 0，the complication occurrence was 0，the sex score of （35.11±1.19）. There were significant differences between the two groups（P0.05）. Conclusion Adopting improved bridge repairing method to treat uterine prolapse has better clinical efficacy and lower recurrence and complication rate，and this method deserve the clinical expansion. 　　[Key words] Uterus prolapse；Improved bridge repair method；Recurrence rate；Complication occurrence 　　子宫脱垂是临床上常见的一种妇科疾病，多数患者是由产伤、产褥期过早参加劳动、超重负荷等慢性疾病所引起[1]。近