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目的探讨子宫脱垂患者行改良阴式子宫全切术后的临床效果。方法对69例子宫脱垂合并阴道前后壁膨出病例在传统阴式子宫切除术基础上,施行阴道顶悬吊,保留阴道黏膜自体组织填充支持和会阴重建。结果69例患者均成功完成手术,在改善压力性尿失禁、防止阴道前、后壁及穹窿脱垂等方面效果满意,无一例复发。结论改良阴式子宫切除术手术难度小,不需特殊器械,费用低疗效好,便于基层开展应用。
Objective To investigate the clinical effect of modified vaginal hysterectomy in patients with uterine prolapse. Methods 69 cases of uterine prolapse with vaginal anterior and posterior wall bulging cases in the traditional vaginal hysterectomy based on the implementation of vaginal top suspension, retaining the vaginal mucosa autologous tissue filling support and perineal reconstruction. Results All the 69 patients completed the operation successfully. The results were satisfactory in improving stress urinary incontinence, preventing vaginal prolapse, posterior wall and vault prolapse, and no recurrence was found. Conclusion Improved vaginal hysterectomy surgery is difficult, no special equipment, low cost and good efficacy, easy to carry out the application of the grassroots.