Clinical Analysis Of Improved Vaginal Hysterectomy In The Treatment Of Twenty-Five Cases Of Uterine Prolapse In Elderly Women

Objective To explore the clinical efficacy of improved vaginal hysterectomy in treatment of uterine prolapse in elderly women. Methods:Fifty cases of elderly patients with uterine prolapse admitted to this hospital during the period from October 2010 to January 2014 are selected, and then evenly divided into a study group and a control group according to random number table method, each with 25 cases. The traditional vaginal hysterectomy is performed in the control group of patients, and improved vaginal hysterectomy in the study group. The clinical efficacy, operation time, intra-operative blood loss, hospital stay and occurrence of postoperative complications of the two groups are observed. Results:The total effective rate is 96.00% in the study group, and 76.00%in the control group. x2= 4.153, P<0.05 (P=0.042), indicating the statistically significant difference,By contrast, the total effective rate of the treatment in study group is obviously higher than that of the control group.and the operation time is58.54±12.35min in the study group,is 165.42±21.32min in the control group t=4.023, P<0.05, indicating the statistically significant difference.intra-operative blood loss is 124.52±24.32ml in the study group and 302.32±22.52ml in the control group, t=3.886, P<0.05, indicating the statistically significant difference. hospital stay of study group are 7.2±1.4days and9.8±2.2days in the control group. t=2.674, P<0.05 (P= 0.022) indicating the statistically significant difference. Post-operative follow-up ranges from 9 to 36 months; within this period there is no case of vaginal stump prolapse or ente-rocele gatism and impaired sexual function in the study group, and there are two cases of stump prolapse, and one case of enterocele one year post operation in the control group. Conclusion:Improved vaginal hysterectomy not only has a significant therapeutic effect but also is of high safety in treatment of uterine prolapse in elderly women, and is suitable for clinical promotion and application.