盆底重建手术治疗盆腔器官脱垂的临床研究  

Clinical research of pelvic floor reconstruction in pelvic organ prolapse

作　　者：吴志芬[1] 宋岩峰[2] 黄惠娟[2] 李宝恒[2] 吴燕青[2] 

机构地区：[1]福建医科大学福总临床医学院,福州350025 [2]南京军区福州总医院妇产科

出　　处：《中国妇产科临床杂志》2012年第2期85-87,共3页Chinese Journal of Clinical Obstetrics and Gynecology

基　　金：福建省科技创新平台项目(2010Y2005)

摘　　要：目的分析采用Prolift系统进行盆底重建手术治疗重度盆腔器官脱垂的疗效及并发症,评估该手术的有效性和安全性,并探讨盆底重建手术目前存在的争议。方法回顾性分析2007年4月至2011年4月南京军区福州总医院行盆底重建手术的183例重度盆腔器官脱垂患者(POP-Q分期Ⅲ～Ⅳ期)的术中情况、术后并发症、解剖学复位及生活质量。结果 183例患者的平均手术时间为(109.17±35.04)min,术中出血量为(135.36±70.16)ml,术后平均住院时间为(6.55±2.28)d。随访8～56个月,平均随访时间为(21.76±13.42)个月,随访率为95.08%(174/183),术后21例(12.07%)出现补片排斥。解剖治愈率和主观治愈率均为98.28%(171/174)。结论盆底重建手术治疗重度盆腔器官脱垂效果好,并发症少,但由于应用时间尚短,仍需进一步临床研究及验证。Objective To evaluate the efficacy and satefy of pelvic floor reconstruction with Prolift in pelvic organ prolapse（POP） patients and to investigate the current controversy.Methods Data of 183 POP patients with stage 3 or 4 who underwent pelvic floor reconstruction with Prolift from April 2007 to April 2011 was analyzed retrospectively.The anatomic result,the complications and quality of life were studied.Results The average operation time was（109.17±35.04） minutes,the average blood loss was（135.36±70.16） ml and the average hospitalization duration after the operation was（6.83±2.36） days.The patients were followed up for 8 to 56 months,among which nine were lost with the fellow-up rate of 95.08%.The anatomic success rate and the subjective recovery rate was 98.28%.After the Prolift procedures,one case had pelvic pain,twenty-one mesh erosion occurred（12.07%）.Conclusions Pelvic floor reconstruction with Prolift might be a safe and effective technique for severe pelvic organ prolapse.

关 键 词：盆底重建手术 Prolift重建术 盆腔器官脱垂 临床研究 

分 类 号：R713[医药卫生—妇产科学]