Analysis Of The Effect Of Vaginal Hysterectomy And Antetior Pelvic Reconstruction On Moderate Uterine Prolapse

Objective:To compare the recent clinical effects of vaginal hysterectomy and anterior pelvic floor reconstruction for the treatment of moderate uterine prolapse.Methods:A retrospective analysis of 80 cases of moderate uterine prolapse patients admitted to our hospital from January 2016 to December2018,the general data of the sample were analyzed,and the samples were divided into moderate uterine prolapse by Chinese pelvic organ prolapse index(refer to the People’s Health Publishing No.9 edition of the Obstetrics and Gynecology Textbook),according to its surgical treatment plan is divided into observation group and control group,the observation group performed 40 cases of anterior pelvic floor reconstruction,and the control group performed 40 cases of vaginal hysterectomy;The general data of the two groups were compared,including age,BMI,and maternal birth;the clinical indexes of the two groups,including postoperative hospital stay,operation time,bleeding volume,anal exhaust time,postoperative ureterretention time;Complications after surgery,including vaginal bleeding,urethral or intestinal damage,mesh exposure,urinary tract infections;and the short-term prognosis of the two groups of patients,ie,vaginal incision healing after 1 month of follow-up,including vaginal incision infection,bleeding,the exposure of the mesh.Results:The postoperative hospital stay of 40 patients with uterine prolapse Ⅱ degree in the observation group was(3.48±0.877)days,which was less than the postoperative hospital stay of the uterine prolapse Ⅱ degree in the control group(5.50±0.599)days.(P<0.05).In the observation group,40 patients had intraoperative blood loss(8.00±3.545)ml,and 40 patients in the control group had intraoperative blood loss(11.88±4.189)ml.The observation group was less than the control group,and the difference was statistically significant(P<0.05).The operation time of the 40 patients with uterine prolapse Ⅱ degree in the observation group was(41.95±37.320)min,which was shorter than that of the control group(60.74±8.192)min.The difference was statistically significant(P<0.05).40 patients in the observation group retained the urethral time(3.10±0.441)days after operation,and 40 patients in the control group retained the urethral time(3.23±0.530)days.There was no significant difference(P>0.05).40 patients in the observation group had anal exhaust time(1.58±0.594)days,and 40 patients with uterine prolapse Ⅱ in the control group had anal exhaust time(1.55±0.639)days,and the difference was not statisticallysignificant(P> 0.05).In the observation group,40 patients with vaginal hemorrhage occurred in 2 patients with uterine prolapse II,and the complication rate was 5%.In the control group,40 patients had postoperative vaginal bleeding in 2 cases(incidence rate 5%)and urinary tract infection in 1 case.(The incidence rate was 2.25%),the total incidence of complications was 7.25%,and there was no statistically significant difference(P>0.05).One month after follow-up,the observation group had a poor healing of the vaginal incision(2.5%),1 case of mesh exposure(2.5%),the total incidence of postoperative complications was 5%,and the control group had a vaginal incision.One case of poor healing,the incidence rate was 2.5%,and the difference was not statistically significant(P>0.05).Conclusion:Both vaginal hysterectomy and transvaginal anterior pelvic reconstruction have good short-term clinical results in the treatment of uterine prolapse II.The two surgical methods are postoperative anal exhaust time,retention of catheter time,postoperative complications and There was no significant difference in the comparison of recent prognostic effects.However,anterior pelvic floor reconstruction is shorter than vaginal hysterectomy,with shorter operation time,less intraoperative blood loss,and shorter postoperative hospital stay.For the surgical treatment of patients with uterine prolapse Ⅱ degree,anterior pelvic floor reconstruction and vaginal surgery are effective procedures,and the recent clinical effectof anterior basin reconstruction is slightly better than vaginal surgery.However,due to the use of mesh,there is still debate on the long-term prognosis,and further follow-up observation and comparative analysis are still needed.