盆底重建手术31例临床分析  

Clinical Analysis of Pelvic Floor Reconstruction Opreation in 31 Cases With SUI and POP

作　　者：李环[1] 吴瑞芳[1] 李瑞珍[1] 曾荔萍[1] 

机构地区：[1]北京大学深圳医院妇产科,深圳518036

出　　处：《国际妇产科学杂志》2009年第4期333-335,340,共4页Journal of International Obstetrics and Gynecology

摘　　要：目的：了解压力性尿失禁与盆腔脏器脱垂患者采用Prolene网片和ProliftTM系统行全盆底重建术治疗的疗效。方法：回顾性分析2006年6月-2008年6月31例压力性尿失禁及Ⅰ度-Ⅲ度盆腔脏器脱垂的患者施行全盆底重建术的疗效及并发症的情况。结果：手术平均时间117．58min，放置网片平均时间77．90min，术中出血平均180．48mL，平均住院时间10．85d。随访1～22个月。患者压力性尿失禁基本治愈，相关症状消失或明显改善，盆腔器官脱垂患者术后有3例出现阴道前壁1度膨出，1例阴道后壁1度膨出，1例阴道前壁网片侵蚀。结论：该全盆底重建术可用于纠正压力性尿失禁及各种程度的盆腔器官脱垂，无论保留或切除子宫，都能同时完成全盆底结构和功能的全部和部分重建，手术安全可行．短期疗效良好，长期疗效有待进一步观察。Objective ：To analyse the effect of pelvic floor reconstruction operation with Prolene mesh and ProliftTM in 31 cases with stress urinary incontinence and pelvic organ prolapse in Beijing University Shenzhen Hospital. Methods：31 cases with stress urinary incontinence and I -Ill stage pelvic organ prolapse of Beijing Uni- versity Shenzhen Hospital in June 2006 to June 2008 were operated with pelvic floor reconstruction operation.The effects and complications of the operation were retrospectively analyzed. Results：The average operation time was 117.58 minutes.The average time for mesh implants was 77.90 minutes. The average hemorrhage was 180.48 ml. The average hospitalization period was 10.85 days. The period of follow-up after operation was 1-22 months. The cases with stress urinary incontinence were cured basically, and the complication were disappeared or improved obviously. In cases of pelvic organ prolapse after operation, anterior vaginal wall I stage prolapse were occurred in three cases, posterior vaginal wall I stage prolapse were occurred in one case, and anterior vaginal wall mesh eroded in one case. Conclusion：Pelvic floor reconstruction operation can be applied in correcting stress urinary incontinence and any degree of pelvic organ prolapse. Whether to preserve uterine or not, the operation can improve the entire or partial structures and functions of pelvic floor. The operation is safe and feasible, and the short-time effect is well. However, the long time affect need further observation.

关 键 词：压力性尿失禁 盆腔器官脱垂 盆底重建手术 经闭孔无张力性尿道中段悬吊术 全盆腔悬吊术 

分 类 号：R713[医药卫生—妇产科学]