[精品]絕經后婦女子宮脫垂術前陰道準備療效觀察.doc

《[精品]絕經后婦女子宮脫垂術前陰道準備療效觀察.doc》由會員上傳分享，免費在線閱讀，更多相關內容在工程資料-天天文庫。

1、絕經后婦女子宮脫垂術前陰道準備療效觀察絕經后婦女子宮脫垂術前陰道準備療效觀察【摘耍】目的;觀察絕經后婦女子宮脫垂行陰式子宮切除術+陰道前后壁修術前陰道準備的臨床用藥效果。方法:絕經后子宮脫垂、陰道前后壁膨出的患者，在行陰式子宮切除術+陰道前后壁修補術前,觀察組36例,給予陰道應用倍美力軟膏1克+甲硝畔0.2g所研粉末，每口1次，陰道上藥，與36例對照組單用甲硝醴0?2g所研粉末陰道上藥，每日1次。均連續(xù)7天。對兩組用藥后手術時間、術中出血及術后切口并發(fā)癥進行綜合對比。結果:觀察組術中出血、手術時間及術后切口

2、并發(fā)癥明顯少于對照組(p<0.05)o結論:絕經后婦女子宮脫垂、陰道前后壁膨出，行陰式子宮切除術+陰道前后壁修補術前，倍美力軟膏+甲硝哩用于陰道準備，術中出血少，手術時間短，術后切口并發(fā)癥少，簡單、有效，可作為術前陰道準備常規(guī)用藥?！娟P鍵詞】倍美力軟膏;子宮脫垂;手術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【中圖分類號】R352【文獻標識碼】A【文章編號】1005-0515(2011)04-0136-01子宮脫垂主要原因是

8、分娩損傷骨盆底肌肉、筋膜、韌帶所致。隨著絕經后，卵巢功能減退，雌激素缺乏，使骨盆底組織薄弱、張力低下誘發(fā)或加重子宮脫垂。對于II度、III度子宮脫垂患者的治療，行陰式子宮切除術+陰道前后壁修補仍為最好的治療方式。脫垂的宮頸、甚至宮體、陰道前后壁脫出陰道，暴露于體外，與衣褲磨擦，陰道壁發(fā)生潰瘍、宮頸糜爛，易于合并雜菌感染。宮頸肥大、延長，易于角化，筋膜層組織增厚，造成手術過程中分離陰道壁吋，層次不清，此層組織內擴張