Uterus from the vagina along the normal location of the decline in population outside the reach of cervical spine ischial level, or even all of uterine prolapse in the mouth outside of the vagina, known as uterine prolapse (uterine prolapse). Uterine
There are often associated with vaginal prolapse anterior and posterior wall bulging.
【Etiology】
Delivery caused by cervical, uterine and cervical main ligaments injury and sacral ligament after delivery organizations in support of the main reasons for the failure to return to normal. Jinan City, according to 2504 cases of uterine prolapse patients, 1 to 3 fat production
Health accounted for 58.21 percent. In addition, the number of maternal postpartum sit-hi, and easy to complicated chronic urinary retention, easily into the uterus after, the uterus and vagina axle shaft in the same direction, the case of abdominal pressure increases, that is, along the vaginal hysterectomy
The decline occurred in the direction of prolapse.
Customary post-squat-style labor (such as washing diapers, vegetables, etc.), so that the abdominal pressure can be increased to uterine prolapse. Maternal uterine prolapse did not occur, due to support for the Organization of genital dysplasia by
Letter.
【Clinical】
Uterine prolapse uterus to the vagina along the downward shift, according to the degree of prolapse can be divided into 3:
Ⅱ: cervical means I have vaginal prolapse, the uterus and the uterine body or body parts are still inside the vagina. However, including the scope is too large, light only extraoral cervical vaginal prolapse, can be re-extended as a result of cervical
Long, resulting in the extension of the cervical and vaginal prolapse vaginal wall all extraoral. Ⅱ degree of uterine prolapse was divided into light and heavy-two. Light Ⅱ degrees part of the vagina and cervix anterior vaginal prolapse face-up. Ⅱ weight degree Palace
Palace part of the neck and body, as well as most or all of the anterior vaginal are turned face-vaginal prolapse. Ⅲ: refers to the entire body of uterus and cervix, as well as all of the vagina and the anterior part of the posterior wall of the vagina are turned face-vaginal prolapse.
】 【Diagnosis
According to the main signs. In addition, should also do some checking. Zhu Huanzhe not understand at an early age, the cut check bladder-stone surgery. Check to make patients cough or gas burst forth in order to increase abdominal pressure, to observe whether the urine from
Overflow urethra, in order to ascertain whether there is stress urinary incontinence, and then emptying the bladder, gynecological examinations.
First of all, pay attention to chronic urinary retention in the non-force cases, the vaginal wall prolapse and uterine prolapse. And attention to the vulva and the extent of the breakdown of the perineum. Vaginal speculum to observe whether or not the cervix and vagina wall
Fester, whether or not the uterus Waterloo rectal hernia. Vagina patient should pay attention to both sides of the levator, to determine the anal fissure width of the muscle, the location of the cervix, uterus and then clear the size of the pelvic position and accessories
Whether or not the tumor or inflammation. Finally, Zhu Huanzhe use of abdominal pressure and, if necessary, desirable Dunwei so palpable uterine prolapse further consultation to determine the degree of uterine prolapse.
【Differential diagnosis】
First, submucosal fibroid-emerge in the palace I can not find, before and after vaginal wall prolapse do not hand can be inserted inside the vagina touched the cervix.
Second, the extension of cervical disease were not maternal. Before and after the vaginal wall does not emerge, before and after high Qionglong Bu, uterine body was still inside the pelvic cavity of only the cervix such as the extreme extension of the column, I highlighted in the vagina
Outside.
Third, intra-uterine chronic disease over the last mass I can not find the uterus, fallopian tube but can be found on both sides of the entrance to the sunken, red mucosal surface, easy bleeding, the attending San uncle empty cavity, can not touch son
Palace.
Fourth, vaginal wall cyst or fibroids often mistaken for bladder prolapse, or uterine prolapse, the check still in the normal uterus location of the tumor or the top of Jixiang, and the tumor has nothing to do with the cervix.
【Treatment】
Have been of prolapse of the uterus occurred in the patient should adopt the traditional Chinese and western medicine and treatment, nutrition, rest a combination of comprehensive measures. In the treatment can be divided into: the use of uterine care, internal medicine, acupuncture,
Fumigation and other non-surgical therapy and surgery to repair. As a result of post-operative vaginal delivery once again have a certain influence, the operation applies only to serious cases of women and children no longer.
