Middle-aged And Older 36 Cases Of Uterine Prolapse Surgery Vagina Surgery Clinical Analysis

Uterine prolapse refers to the location along the vagina from the nor- mal decline in the mouth of the cervix outside the ischial spine level, or even all of uterine prolapse in the vagina outside the mouth is a common clinical disease of older women, one of. In recent years, with the process of speeding up the aging of the population, the number of elderly women and a gradual increase in the sick, and its incidence is rising, according to statistics of the late postmenopausal uterine prolapse accounted for 61.3%. Is generally believed that older women over the age of 60 about 1/4 with varying degrees of uterine prolapse, uterine prolapse a serious impact on the quality of life of patients. The treatment of uterine prolapse support therapy, care and surgical treatment of the uterus, according to data research, surgical treatment is the treatment of uterine prolapse of the principal means. Germany in 1813 by Langenbeck implement the world's first case of vaginal surgery, vaginal surgery as a result there is no abdominal incision, the body surface without leaving any scars, surgical trauma and disruption of the basin less abdominal postoperative pain, patients the advantages of faster, more and more popular clinicians,Therefore, vaginal surgery is more widely used in clinical.Surgical treatment of uterine prolapse are the most effective way. Surgical repair has anterior and posterior wall colporrhaphy, manchester' operation, colpohysterectomy and anterior and posterior wall colporrhaphy, partial colpocleisis and uterine suspension. manchester 'operation and one of colpohysterectomy and anterior and posterior wall colporrhaphy are most commonly used method. Therefore, this study will be the treatment of middle-aged and elderly vaginal prolapse operation of these two methods for comparison.Objective: To investigate the treatment of uterine prolapse elderly vaginal surgery best surgery.Methods: Retrospective analysis of Dalian Medical University Second Affiliated Hospital of Obstetrics and Gynecology in July 2005 ~ August 2008 between the identified and diagnosed as uterine prolapse surgery with different surgical treatment of 36 cases of patients. All cases were history of vaginal delivery. According to the standard income, according to different surgical procedures were divided into two groups, namely Manchester'operation (patients I-type) and colpohysterectomy and anterior and pos- terior wall colporrhaphy (patients II-type). Comparison of two groups of patients with blood loss, operative time, after venting, after urination, defecation postoperative hospitalization days whether or not significant differences. To explore the treatment of uterine prolapse elderly vaginal surgery the best surgical procedures.Results: 36 cases of uterine prolapse vaginal surgery was successful in all patients, 4 cases of old perineal laceration repair had been carried out, no case of bladder, rectal injury, such as bleeding and postoperative wound. All patients with postoperative infection did not occur. Different surgical bleeding in patients with the difference between the two groups (P<0.05), operative time, after the exhaust, after urination, defecation and post- operative length of hospital stay were not significantly different (P > 0.05). After a vaginal gynecological examination on the top of good wound healing, normal urine.Conclusion: For patients with uterine prolapse, vaginal surgery is an ideal method of treatment, achieved a minimum level of surgical intervene- tion. There is no vaginal surgery for all patients with uterine prolapse should be based on different patient's age, physical condition, medical complications and the need to retain the comprehensive situation of the womb to take a different surgical treatment of uterine prolapse is the best option. Patient no need to retain the uterus such as in the case of non-taboo preferred vaginal hysterectomy and colpohysterectomy and anterior and posterior wall colporrhaphy.