|
|
Clinical Observation on 60 Cases of Uterine Prolapse Treated by External Suspension of Rectus Abdominis |
CAI Mei-mei |
People's Hospital Guannan County, Lianyungang, Jiangsu 223001 |
|
|
Abstract 【Objective】To investigate the curative effect of treatment of uterine prolapse by external suspension of rectus abdominis.【Methods】From January 2013 to March 2017, 60 cases of Ⅱ ~ Ⅲ degree prolapse of uterus were selected and treated by external suspension of rectus abdominis. The index, curative effect and recurrence rate were recorded.【Results】Of 60 patients, the operative time was 57.86 ±23.42 days, the intraoperative bleeding was 80.79 ±28.82 mL, the postoperative exhaust time was 23.22 ±4.10 min / h, the visual analogue pain score was 4.86 ±1.42, and the hospital stay was 6.18 ±1.39 days. In addition, there was no pelvic and abdominal organ injury and bladder injury. 57 cases were cured in 60 cases, the cure rate was 95.00 and only 2 cases recurred and the recurrence rate was 3.33%.【Conclusion】The treatment of uterine prolapse by external suspension of rectus abdominis muscle is effective, high safety and low recurrence rate.
|
Received: 12 May 2017
|
|
|
|
|
[1] 王玉玲,柳晓春,谢庆煌,等.腹腔镜下高位宫骶韧带悬吊术与经阴道骶棘韧带固定术治疗年轻子宫脱垂患者的临床效果评价[J].实用妇产科杂志,2014,30(4):273-277. [2] 邢秀月,李晓丽,王丽娜,等.腹腔镜下子宫骶骨固定术治疗子宫脱垂41例疗效分析[J].西南国防医药,2015,25(12):1283-1285. [3] 陆静,周德兰,韩素萍.阴道顶端悬吊术治疗盆腔脏器脱垂疗效分析[J].江苏医药,2015,41(22):2746-2747. [4] 乐杰,谢幸主编.妇产科学[M].第7版.北京:人民卫生出版社,2008:409-419. [5] Bump RC,Mattiasson A,Bo K,et al.The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction[J].Am J Obstet Gynecol,1996,175(1):10. [6] 张黎,吴忠新.GnRH-a联合雌孕激素反向添加疗法治疗重度子宫内膜异位症患者疼痛及远期复发率随访[J].临床和实验医学杂志,2017,16(13):1325-1327. [7] 罗军,罗萍,刘莉.不同人群对盆底功能障碍性疾病的认知状况调查[J].医学临床研究,2014,31(11):2227-2228. [8] Flynn BJ,Webster GD.Surgical management of the apical vaginal defect[J].Cur Opin Urol,2002,12(4):353. [9] 张晖娟.LAVH与经阴式子宫切除治疗非脱垂子宫良性病变的效果[J].中国妇幼保健,2012,27(3):446-448. [10] 张青冬,汪萍萍.腹腔镜下不同手术方式治疗年轻子宫脱垂患者的有效性和安全性研究[J].海南医学,2016,27(22):3675-3678. [11] 金欣,李桂林,王倩.腹腔镜子宫体腹直肌外悬吊术治疗子宫脱垂的疗效分析[J].中国医药科学,2016,6(15):201-203. [12] 姬冰瑞,边爱平,赵倩,等.两种保留子宫治疗子宫脱垂的手术方式的疗效分析[J].现代妇产科进展,2014,23(12):976-978. [13] 孙秀云,邵继宏,孙连华,等.腹腔镜腹直肌悬吊术治疗子宫脱垂50例分析[J].中国实用妇科与产科杂志,2015,31(11):1038-1039. [14] 丘媚妮,饶煌珍,杨艳华,等.腹腔镜子宫韧带悬吊术联合阴式子宫颈截除术加主韧带缩短术在严重子宫脱垂治疗中的应用[J].疑难病杂志,2017,16(3):271-274. [15] 高琴.腹腔镜下子宫悬吊术联合优质护理治疗子宫脱垂疗效分析[J].实用临床医药杂志,2016,20(24):182-183. [16] 张岩,柳友清.两种手术方式治疗子宫脱垂的临床分析[J].中国临床保健杂志,2015,18(3):284-286. [17] 崔海军,阎成全,张慧民,等.后腹腔镜肾脏手术对机体应激的影响[J].现代生物医学进展,2016,16(18):3547-3550. |
|
|
|