Clinical analysis on the effectiveness of modified vaginal hysterectomy for the treatment of uterine prolapse in elderly women
10.3760/cma.j.issn.0254-9026.2021.09.018
- VernacularTitle:改良阴式子宫切除术治疗老年女性子宫脱垂的临床疗效分析
- Author:
Youcun JIN
1
;
Yurong HUA
;
Peipei WANG
;
Qiangen CAI
Author Information
1. 江南大学附属医院妇产科，无锡 214000
- Keywords:
Hysterectomy, vaginal;
Uterine prolapse
- From:
Chinese Journal of Geriatrics
2021;40(9):1169-1172
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To examine the clinical effectiveness of modified vaginal hysterectomy for the treatment elderly women with uterine prolapse.Methods:Eighty-two elderly patients with uterine prolapse treated in the Affiliated Hospital of Jiangnan University from January 2017 to August 2020 were selected as research subjects, who were randomly and double-blindly divided into the control group and the observation group, with 41 patients in each group.The control group was treated with traditional vaginal hysterectomy, while the observation group was treated with modified vaginal hysterectomy.Surgical parameters(operating time, intraoperative blood loss and length of hospital stay), total clinical effectiveness rates and the incidences of complications in the two groups were compared.Results:The total effectiveness rate of the observation group was higher than that of the control group(97.6% vs.78.0%, χ2=7.291; P<0.05). The operation time[(71.3±15.5)min vs.(122.7±22.2)min, t=7.379, P=0.008], intraoperative blood loss[(122.5±15.3)ml vs.(297.7±20.7)ml, t=9.820, P=0.000]and hospitalization time[(7.2±1.5)d vs.(10.0±2.9)d, t=7.164, P=0.014]of the observation group were lower than those of the control group.The incidence of complications in the observation group was lower than that in the control group(0.0% vs.14.6%, χ2=7.159, P<0.05). Conclusions:Modified vaginal hysterectomy for elderly patients with uterine prolapse can help improve the clinical effectiveness and reduce the operating time, postoperative length of hospital stay and the incidence of postoperative complications.
