2014China Medical HeraldRequires access

The analysis of curative effect on improved trans-vaginal surgery to female pelvic organ prolapse

Zhang Ai-fen

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Abstract

Objective To discuss the curative effect on improved trans-vaginal hysterectomy plus anterior and posterior vaginal wall repair to female pelvic organ prolapse, and analyze the safety, effectiveness and feasible. Methods The clinical data of 225 patients with uterine prolapse and anterior and posterior vagina prolapse cured by vaginal surgery in Gynecology Department of Tongzhou Maternal and Child Health Hospital of Beijing City from January 2008 to June 2012 were selected as the study objects, 125 cases with traditional trans-vaginal surgery(traditional group) and 110 cases of improved trans-vaginal surgery(improved group). The clinical efficacy and incidence of complications after the treatment of two groups were compared and analyzed. Results The operative time, total hospital stay, incidence of complications in the improved group were(65.25±15.65) min,(6.70±2.30) d, 2.70% respectively, which were obviously less than the traditional group [(90.50±30.20) min,(9.12±2.13) d, 6.40%], and the cure rate after surgery in the improved group(90.9%) was higher than that in the traditional group(68.8%), the differences were statistically significant(all P 0.05). The blood loss, intestinal recovery time and postoperative morbidity was(155.80±28.32) mL,(22.56±12.15) h, 0.91% in the improved group, and(170.35±20.05) mL,(24.15±10.50) h, 0.24% in the traditional group respectively, there were no significantly differences between the two groups(P 0.05). Conclusion Improved trans-vaginal hysterectomy plus anterior and posterior vaginal wall repair have satisfactory effect in the treatment of pelvic organ prolapse, with a minimally invasive, safe, rapid postoperative recovery and lower incidence of postoperative complications characteristics, worthy of further promotion.

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What this paper is about

Objective To discuss the curative effect on improved trans-vaginal hysterectomy plus anterior and posterior vaginal wall repair to female pelvic organ prolapse, and analyze the safety, effectiveness and feasible. Methods The clinical data of 225 patients with uterine prolapse and anterior and posterior vagina prolapse cured by vaginal surgery in Gynecology Department of Tongzhou Maternal and Child Health Hospital of Beijing City from January 2008 to June 2012 were selected as the study objects, 125 cases with traditional trans-vaginal surgery(traditional group) and 110 cases of improved trans-vaginal surgery(improved group). The clinical efficacy and incidence of complications after the treatment of two groups were compared and analyzed. Results The operative time, total hospital stay, incidence of complications in the improved group were(65.25±15.65) min,(6.70±2.30) d, 2.70% respectively, which were obviously less than the traditional group [(90.50±30.20) min,(9.12±2.13) d, 6.40%], and the cure rate after surgery in the improved group(90.9%) was higher than that in the traditional group(68.8%), the differences were statistically significant(all P 0.05). The blood loss, intestinal recovery time and postoperative morbidity was(155.80±28.32) mL,(22.56±12.15) h, 0.91% in the improved group, and(170.35±20.05) mL,(24.15±10.50) h, 0.24% in the traditional group respectively, there were no significantly differences between the two groups(P 0.05). Conclusion Improved trans-vaginal hysterectomy plus anterior and posterior vaginal wall repair have satisfactory effect in the treatment of pelvic organ prolapse, with a minimally invasive, safe, rapid postoperative recovery and lower incidence of postoperative complications characteristics, worthy of further promotion.

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Available abstract

Objective To discuss the curative effect on improved trans-vaginal hysterectomy plus anterior and posterior vaginal wall repair to female pelvic organ prolapse, and analyze the safety, effectiveness and feasible. Methods The clinical data of 225 patients with uterine prolapse and anterior and posterior vagina prolapse cured by vaginal surgery in Gynecology Department of Tongzhou Maternal and Child Health Hospital of Beijing City from January 2008 to June 2012 were selected as the study objects, 125 cases with traditional trans-vaginal surgery(traditional group) and 110 cases of improved trans-vaginal surgery(improved group). The clinical efficacy and incidence of complications after the treatment of two groups were compared and analyzed. Results The operative time, total hospital stay, incidence of complications in the improved group were(65.25±15.65) min,(6.70±2.30) d, 2.70% respectively, which were obviously less than the traditional group [(90.50±30.20) min,(9.12±2.13) d, 6.40%], and the cure rate after surgery in the improved group(90.9%) was higher than that in the traditional group(68.8%), the differences were statistically significant(all P 0.05). The blood loss, intestinal recovery time and postoperative morbidity was(155.80±28.32) mL,(22.56±12.15) h, 0.91% in the improved group, and(170.35±20.05) mL,(24.15±10.50) h, 0.24% in the traditional group respectively, there were no significantly differences between the two groups(P 0.05). Conclusion Improved trans-vaginal hysterectomy plus anterior and posterior vaginal wall repair have satisfactory effect in the treatment of pelvic organ prolapse, with a minimally invasive, safe, rapid postoperative recovery and lower incidence of postoperative complications characteristics, worthy of further promotion.

Key concepts: Medicine, Vagina, Incidence (geometry), Surgery, Hysterectomy, Blood loss, Uterine prolapse, Optics

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