协和盆底重建术162例临床疗效分析  

Modified Pelvic Floor Reconstruction——162 Cases Analysis

作　　者：黄益娟[1] 龚健[1] 王家俊[1] 陈艳琴[1] 熊国海[1] 

机构地区：[1]南京医科大学附属无锡妇幼保健院,江苏无锡214002

出　　处：《实用妇产科杂志》2011年第8期618-621,共4页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:评价协和盆底重建术(阴道加用聚丙烯补片行盆底重建术)的临床疗效。方法:对162例经盆腔器官脱垂评分(POP-Q)诊断为中重度阴道前壁脱垂患者行协和盆底重建术(前),评价其各项主观、客观指标。结果:162例患者平均手术时间97.2分钟(50～170分钟),平均失血量86.3ml(120～300ml),术后平均最高体温37.9℃(37.2～39.0℃),平均住院时间6.2天(5～10天),平均尿管保留3.2天(2～10天)。其中7例术后膀胱残余尿>100ml,经治疗后排尿畅。临床随访140例,随访率86.5%,平均随访18个月。以POP-Q为参考,客观治愈率达97.1%,网片暴露率3.6%(5/140),新发急迫性尿失禁率3.6%(5/140)。结论:协和盆底重建术有助于膀胱解剖及功能恢复,是治疗盆腔器官脱垂安全、有效的手术方式。Objective：To assess the clinical efficacy of modified pelvic floor reconstruction using polypropylene mesh. Methods：162 patients with anterior vaginal wall prolapse （AVWP） of stage Ⅱor greater which were clarified by the Pelvic Organ Prolapse Quantification （POP-Q） were treated by modified pelvic floor reconstruction.The subjective and objective parameters of them were evaluated.Results：In 162 patients, the mean operation time was 97.2 min （50 to 170 min）, the mean amount of blooding was 86.3 ml （120 to 300 ml）. After operation,the mean maximum temperature was 37.9℃（37.2 to 39.0℃）. The mean hospitalization time was 6.2 days （5 to 10 days）. The average catheter retention time was 3.2 days （2 to 10 days）, of which 7 cases had residual urine more than 100ml. After treatment, all of them were recovered. The average follow-up time was 18 months. Consulted with POP-Q, the objective cure rate was 97.1%, the vaginal mesh erosion rate was 3.6% （5/140） and the emerging urge incontinence rates were 3.6% （5/140）.Results：Modified pelvic floor reconstruction can improve anatomical and functional recovery of bladder. It is a safe and effective surgical mode to treat vaginal wall prolapse.

关 键 词：盆腔器官脱垂 盆底重建术 补片 

分 类 号：R713[医药卫生—妇产科学]