目的：探讨桥式修补术治疗阴道前后壁脱垂的疗效。方法：回顾性分析2009年1月-2012年3月因子宫脱垂行阴道前后壁桥式修补术34例；及2006年1月-2009年3月因子宫脱垂行传统的阴道前后壁修补术29例，比较两种术式的近期疗效。结果：阴道前后壁桥式修补术的手术时间为（1.20±0.64）h，术中出血量为（10.5±3.96）mL，术后复发率为0，与传统术式手术时间（1.70±0.74）h，术中出血量（36.90±2.46）mL，术后复发率10.34%比较，差异均有统计学意义（P<0.05）。结论：与传统术式比较，桥式修补术治疗阴道前后壁脱垂的手术时间短、术中出血少、术后复发率低，未出现尿道、膀胱损伤，未发现直肠损伤及阴道壁血肿等等，近期疗效较满意。%Objective:To explore the curative effect of vaginal anterior and posterior prolapse after vaginal bridge repair.Method:Based a retrospective analysis,the clinical data of cases from January 2009 to March 2012 with vaginal anterior and posterior prolapse had been repaired in our hospital were collected,34 cases were treated by vaginal bridge repair and 29 cases by classical repair from January 2006 to March 2009.Then the curative effect of the two operative methods in the near future were compared.Result:The operation time of the vaginal anterior and posterior bridge repair were (1.20±0.64)hours, the loss blood were (10.5±3.96)mL,the recurrence rate was 0.Compared with traditional repair, the operation time were (1.70±0.74)hours,the loss blood were (36.90±2.46)mL,the recurrence rate was 10.34%, the differences were statistically significant(P<0.05).Conclusion:Comapred with classical repair, vaginal bridge repair can make shorter operation time,less intraoperative bleeding and postoperative recurrence rate is lower, and there is no urethra, bladder injury,and we don’t find the rectum injury and vaginal wall hematoma and so on.The recent curative effect is satisfied.
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