阴式手术治疗子宫脱垂301例临床分析

目的：探讨阴式手术治疗子宫脱垂的疗效。方法回顾性分析重庆医科大学附属第一医院妇科301例子宫脱垂行阴式手术治疗的临床资料。结果301例均手术顺利,其中子宫脱垂Ⅰ度114例,治愈63例（55.26％）,好转25例（21.93％）,复发23例（20.18％）,无效3例（2.63％）,临床有效率77.19％;子宫脱垂Ⅱ度178例,治愈101例（56.74％）,好转67例（37.64％）,复发10例（5.62％）,临床有效率94.28％;子宫脱垂Ⅲ度9例,治愈1例（11.11％）,好转5例（55.56％）,1例复发（11.11％）,2例无效（22.22％）,临床有效率66.67％。结论阴式手术对于Ⅰ、Ⅱ度子宫脱垂疗效好,具有痛苦小、并发症少、恢复快等特点,对于Ⅲ度子宫脱垂大部分有效,部分无效,且易复发。

Clinical analysis of 301 cases of uterine prolapse treated by transvaginal surgery

Objective To observe the clinical curative effects of transvaginal surgery in treatment of uterine prolapse .Methods The clinical data of 301 cases of uterine prolapse in our hospital treated with transvaginal surgery were retrospectively analyzed .Results The surgeries of 301 cases were successful .Among the 114 cases with the first degree uterine prolapse,63 cases were cured（55.26%）,25 cases were improved（21.93%）, 23 cases were relapsed （ 20.18%） , and 3 cases were ineffectively （ 2.63%） .The clinical effective rate was 77.19%.Among the 178 cases with the second degree uterine prolapse ,101 cases were cured（56.74%）,67 cases improved（37.64%）,and 10 cases were relapsed（5.62%）.The clinical effective rate was 94.28%.Among the 9 cases with the third degree uterine prolapse , 1 case was cured （ 11.11%） , 5 cases were improved （55.56%）,1 case was relapsed（11.11%）,and 2 cases were ineffectively（22.22%）.The clinical effective rate was 66.67%.Conclusion Transvaginal surgery is regarded as an good method for the first and second degree u -terine prolase because of its curative effects ,less pain ,low incidence of complications and quick recovery .However, it is ineffective and has a higher rate of recurrence for some cases of third degree uterine prolapse .