[精品]绝经后妇女子宫脱垂术前阴道准备疗效观察.doc

《[精品]绝经后妇女子宫脱垂术前阴道准备疗效观察.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、绝经后妇女子宫脱垂术前阴道准备疗效观察绝经后妇女子宫脱垂术前阴道准备疗效观察【摘耍】目的;观察绝经后妇女子宫脱垂行阴式子宫切除术+阴道前后壁修术前阴道准备的临床用药效果。方法:绝经后子宫脱垂、阴道前后壁膨出的患者，在行阴式子宫切除术+阴道前后壁修补术前,观察组36例,给予阴道应用倍美力软膏1克+甲硝畔0.2g所研粉末，每口1次，阴道上药，与36例对照组单用甲硝醴0・2g所研粉末阴道上药，每日1次。均连续7天。对两组用药后手术时间、术中出血及术后切口并发症进行综合对比。结果:观察组术中出血、手术时间及术后切口

2、并发症明显少于对照组(p<0.05)o结论:绝经后妇女子宫脱垂、阴道前后壁膨出，行阴式子宫切除术+阴道前后壁修补术前，倍美力软膏+甲硝哩用于阴道准备，术中出血少，手术时间短，术后切口并发症少，简单、有效，可作为术前阴道准备常规用药。【关键词】倍美力软膏;子宫脱垂;手术PostmenopausalwomenwithuterineprolapseefficacyofpreoperativevaginalpreparationWangYanPing[Abstract]Objectivetoobservethepo

3、stmenopausalwomenuterineprolapselineYintypehysterectomy+vaginalaroundwal1repairingpreoperativevaginalpreparedclinicalmedicationeffect・Methodspostmenopausaluterineprolapse,vaginalwal1surfaces,thepatientsbeforeandafterhysterectomy+instrictYintypebeforeoperat

4、ion,vaginalwa11repairingobservationgroup(36cases)andgivevaginalapplicationtimesbeautifulforceointment1gram+metronidazole0.2ggrindpowder,whicheveryday1,vaginalirrigation,36casesofcontrolgroup,andby0.2gstilaminmetronidazole,thedai1ygrindpowdervaginalirrigati

5、on1times.Allforsevendays・Twogroupsofoperativetime,whenthedrugintraoperatiebleedingandpostoperativeincisionintegratedcomparativecomplications.Resultstheobservationgroup,operationtimeintraoperatiebleedingandpostoperativeincisioncomplicationsobviouslylessthan

6、thatincontrolgroup(p<0.05)・Conelusionpostmenopausalwomenuterineprolapse,vaginalwal1surfacesandlinebeforeandafterhysterectomy+vaginalYintype,timesbeforeandafterwallrepairingpreoperativebeautyforceointmentforvaginalpreparation,+metronidazoleintraoperatieblee

7、ding,lessshortoperativetime,postoperativeincisionlesscomplications,simple,effective,andcanbeusedforroutinepreoperativevaginalpreparedrug・[KeywordsjTimesHTbeautyforceointment;Uterineprolapse;surgery【中图分类号】R352【文献标识码】A【文章编号】1005-0515(2011)04-0136-01子宫脱垂主要原因是

8、分娩损伤骨盆底肌肉、筋膜、韧带所致。随着绝经后，卵巢功能减退，雌激素缺乏，使骨盆底组织薄弱、张力低下诱发或加重子宫脱垂。对于II度、III度子宫脱垂患者的治疗，行阴式子宫切除术+阴道前后壁修补仍为最好的治疗方式。脱垂的宫颈、甚至宫体、阴道前后壁脱出阴道，暴露于体外，与衣裤磨擦，阴道壁发生溃疡、宫颈糜烂，易于合并杂菌感染。宫颈肥大、延长，易于角化，筋膜层组织增厚，造成手术过程中分离阴道壁吋，层次不清，此层组织内扩张