改良保留子宫的全盆底悬吊术治疗女性盆底障碍性疾病临床分析  

Clinical Analysis of a Modified Remaining-Uterus Whole Pelvic Floor Sling Plasty in the Treament of Female Pelvic Flour Dsyfuntion

作　　者：汪利群[1] 袁迎九[1] 黄欧平[1] 

机构地区：[1]江西省妇幼保健院妇科,南昌330006

出　　处：《实用临床医学（江西）》2007年第9期70-72,共3页Practical Clinical Medicine

摘　　要：目的:探讨改良保留子宫的全盘底悬吊术治疗女性盆底障碍性疾病的效果。方法:对12例根据POP-Q分度法女性有Ⅲ度及Ⅲ度以上盆底障碍性疾病患者行改良保留子宫全盆底悬吊手术。应用自制聚丙烯网片对子宫主韧带、骶韧带、阴道前后壁、膀胱宫颈韧带进行全盆底悬吊,合并压力性尿失禁的患者同时进行改良经闭孔尿道中段无张力悬吊术(改良TVT-O术)。结果:平均手术时间(80.2±5.3)min、术中出血平均(11.8±43.3)mL、根据POP-Q分度法12例患者全部得到纠正,所有病例全部治愈。结论:盆底悬吊术是治疗多区域、复杂型盆腔器官脱垂的微创手术,采用人工合成材料可有针对性地达到解剖部位上的修复,在保留子宫的同时完成全盆底结构和功能重建,短期疗效满意。Objective To explore the effectiveness of a modified pelvic floor sling plasty in the treatment of female pelvic flour dsyfuntion（PED） without removal of uterus.Methods： Twelve women with gradeⅢand above gradeⅢPED by pelvic organ prolapse quantification（POP-Q） were treated by a modified remaining-uterus whole pelvic floor sling plasty.The procedures in-cluded suturing home-made polypropylene mesh to cardinal ligament,utero-sacral ligamentanteri-or and posterior vaginal wall,bladder-cervical ligament.The patients who had complicated by stress urinary incontinence,the concomitant procedures for a modified tension-free vaginal tape-obturator（TVT-O）were also treated.Results：The average operative time was 85 min and esti-mated blood loss was120 mL.Twelve patients were recovered by POP-Q and cured.Conclusion： Traditional methods included cutting uterus and restoring vaginal walls.Pelvic floor sling plasty was a minimally invasive surgery that could treat many regional and complicated pelvic organs prolapse.Using man-made materials could reconstruction anatomic site.The uterus could be suc-cessfully reserved during pelvic floor reconstruction with promising short-term results.

关 键 词：盆底功能障碍 全盆底悬吊术 女性 

分 类 号：R713[医药卫生—妇产科学]