前盆底重建术在治疗女性盆腔器官脱垂中的应用  

The application of previous pelvic floor reconstruction surgery in the treatment of female pelvic organ prolapse

作　　者：王建霞[1] 

机构地区：[1]江苏省江阴市中医院妇产科,江苏江阴214400

出　　处：《实用临床医药杂志》2011年第24期96-98,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨前盆底重建术在女性盆腔器官脱垂中的临床疗效。方法对85例本院收治的盆腔器官脱垂Ⅱ～Ⅳ期的患者行前盆底重建术。分析术后患者恢复情况、临床疗效及并发症，随访其复发率及生活满意度。结果患者手术时间为（90．2±5．6）min，术中出血（120．2±20．5）mL，术后平均住院时间7．1d，85例患者手术均获得成功。患者术后主观评分明显高于术前，无复发患者。术后出现血肿3例，会阴疼痛4例，补片侵蚀6例，经积极治疗后均缓解。结论前盆底重建术可有效治疗前盆腔脏器脱垂，远期疗效待进一步探讨。Objective To explore the clinical efficacy of anterior pelvic reconstruction in pa- tients with anterior pelvic organ prolapse. Methods Eighty - five patients with POP stage Ⅱ-Ⅳ from our hospital underwent anterior pelvic reconstruction. The postoperative recovery, the clinical efficacy, complications, and follow- up of relapse rate and life satisfaction were analyzed. Results Operative time was （90.2 ±5.6） rain, blood loss was （120.2 ± 20.5） mL, mean postoperative hospital stay was 7.1 d and 85 patients had successful operations. Patients＇ satisfactions were significantly higher than the preoperative. Patients had no recurrence. Postoperative hematoma occurred in 3 cases, perineal pain in 4 cases, and patch erosion in 6 cases. After active treatment, all were eased. Conclusion Anterior pelvic floor reconstruction surgery can be effective in treating anterior pelvic organ prolapse, but the long - term effects should be further explored.

关 键 词：前盆底重建术 盆腔脏器脱垂 补片 

分 类 号：R622[医药卫生—整形外科] R686.3[医药卫生—外科学]