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目的分析经阴道全子宫全阴道切除术治疗Ⅲ度子宫脱垂合并阴道膨出的临床效果。方法 30例Ⅲ度子宫脱垂合并阴道膨出患者,随机分为对照组和实验组,各15例。对照组采用经阴道全子宫全阴道切除术联合修补术进行治疗,实验组采用经阴道全子宫全阴道切除术治疗,比较两组治疗效果、术后情况以及不良反应情况。结果实验组术后无一例失败者,并发症发生1例(6.0%),对照组并发症发生率和失败率分别为33.3%、20.0%,两组比较差异具有统计学意义(P<0.05);实验组手术时间、术后肛门排气时间以及住院时间等指标均显著优于对照组,两组比较差异有统计学意义(P<0.05);两组患者术中出血量比较,差异无统计学意义(P>0.05)。结论经阴道全子宫全阴道切除术治疗Ⅲ度子宫脱垂合并阴道膨出临床效果显著,并发症发生率低,但临床应以患者实际需求为准,以免盲目手术治疗影响患者日后生活质量。
Objective To analyze the clinical effect of total vaginal hysterectomy for the treatment of third degree uterine prolapse with vaginal bulging. Methods Thirty patients with grade Ⅲ uterine prolapse complicated with vaginal bulging were randomly divided into control group and experimental group, with 15 cases in each group. The control group received transvaginal total hysterectomy combined with repair. The experimental group was treated with transvaginal hysterectomy. The curative effect, postoperative condition and adverse reactions of the two groups were compared. Results There were 1 case (6.0%) in the experimental group and no complication after the operation. The incidence of complications and the failure rate in the control group were 33.3% and 20.0%, respectively. There was significant difference between the two groups (P <0.05) ; The experimental group operation time, postoperative anal exhaust time and hospital stay indicators were significantly better than the control group, the difference between the two groups was statistically significant (P <0.05); two groups of patients with intraoperative bleeding, the difference was not statistically significant Significance (P> 0.05). Conclusions Transvaginal hysterectomy for the treatment of third degree uterine prolapse with vaginal bulging clinical effect is significant, the incidence of complications is low, but the clinical needs of patients should prevail, so as not to blind treatment of patients with quality of life in the future.