老年女性前盆腔器官脱垂行个体化经阴道手术的疗效  

Vaginal repair operation for anterior pelvic organ prolapse in elderly women

作　　者：邓文慧[1] 吕秋波[1] 魏风华[1] 申桂华[1] 孟庆伟[1] 伍凤莉[1] 李寒松[1] 姜展红[1] 梁琳[1] 亢长英[1] 吕艾明[1] 张毅[1] 

机构地区：[1]北京医院妇产科,100730

出　　处：《中华医学杂志》2010年第37期2620-2624,共5页National Medical Journal of China

摘　　要：目的 评价老年妇女前盆腔器官脱垂行个体化经阴道手术治疗的安全性及疗效,为个体化盆腔重建手术对老年妇女生活质量的研究提供临床基础.方法 90例60岁以上前盆腔器官脱垂患者即个体化组,行个体化经阴道手术,观察手术安全性、疗效及泌尿、盆底功能生活质量的改变.并与同期对照组60例60岁以上前壁脱垂患者,经传统Kelly-Kennedy修补术进行比较.结果 老年妇女前盆腔器官脱垂行个体化经阴道手术治疗安全,术后恢复快,疗效好,复发率低（P＜0.05）,生活质量高（P＜0.05）.结论 老年妇女前盆腔器官脱垂行个体化经阴道手术疗效显著,术后生活质量明显提高.Objective To identify the safety and efficacy of individualized vaginal surgery for anterior pelvic organ prolapse （POP） in elderly women so as to provide a clinical basis for studies on improving life quality by treatment in elderly women. Methods The individuaation group consisted of 90patients with a diagnosis of anterior POP. All over 60 years old, they underwent individualized vaginal surgery. The safety and efficacy, POP quantitative examination POP-Q change, cure and recurrence rate and life quality scores on incontinence and pelvic floor distress and impact were assessed. The control group （ n = 60） was composed of patients （ 〉 60 yr old ） with a diagnosis of anterior POP were performed with Kelly-Kennedy operation. Their safety, efficacy, cure and recurrence rates were compared. Results Individualized vaginal surgery in elderly women was both safe and effective. The post-therapeutic recovery time was shorter（P 〈 0. 05 ）, the cure rate higher and the recurrence rate lower（ P 〈 0. 05 ）than that of control group. The life quality after individualized surgery improved （P〈0.01 ）. Conclusion The individualized vaginal surgery is safe and effective for a correction of anterior POP in elderly women. The life quality improves after operation.

关 键 词：盆腔器官脱垂 个体化 阴道 妇科外科手术 

分 类 号：R686[医药卫生—骨科学]