保留子宫的Prolift盆底重建术治疗女性盆腔脏器脱垂的疗效观察  

Observation on curative effect of Prolift pelvic floor reconstruction surgery for treatment of female pelvic organ prolapse

作　　者：张秋实[1] 刘晓霞[1] 宗珊[1] 岳瑛[1] 

机构地区：[1]吉林大学第一医院妇产科,吉林长春130061

出　　处：《中国妇幼保健》2013年第7期1095-1097,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨应用Prolift盆底重建系统行保留子宫的全盆底重建术可行性及临床疗效。方法:回顾性分析2009年1月～2012年2月吉林大学第一医院收治的40例POP患者的临床资料,其中15例应用Prolift盆底重建系统行保留子宫的盆底重建术为研究组,25例行传统TVH+阴道前后壁修补术为对照组,分析比较两组术中情况及术后疗效。结果:研究组围手术期情况与对照组比较差异有统计学意义(P<0.05),两组均无并发症发生。术后随访6～24个月,研究组客观治愈率为100.0%,对照组客观治愈率为86.7%。40例患者子宫脱垂、阴道前后壁脱垂等症状基本改善,但术后生活质量评定研究组明显高于对照组。结论:保留子宫的Prolift盆底重建术治疗POP手术疗效好,其复发率低,生活质量明显提高,近期疗效稳定,长期疗效仍需进一步观察。Objective： To explore the feasibility and clinical efficacy of total pelvic floor reconstruction surgery with Prolifl pelvic floor reconstruction system for treatment of female pelvic organ prolapse （POP） . Methods： The clinical data of 40 POP patients who were treated in the hospital from January 2009 to February 2012 were analyzed retrospectively, then the patients were divided into study group and control group; 15 patients in study group were treated with total pelvic floor reconstruction surgery with Prolift pelvic floor reconstruction sys- tem, and 25 patients in control group were treated with routine transvaginal hysterectomy （TVH） and repair surgery of vaginal wall ; the intr- aoperative situations and curative effects in the two groups were analyzed and compared. Results： There was statistically significant differ- ence in perioperative situations between study group and control group （ P 〈 0. 05 ） , no complications occurred in the two groups. The pa- tients were followed up for 6 -24 months; the objective curative rates in study group and control group were 100. 0% and 86. 7% , respec- tively. Uterine prolapse, vaginal wall prolapse of 40 patients were improved basically, but the quality of life after surgery in study group was better than that in control group. Conclusion： The curative effect of Prolifl pelvic floor reconstruction surgery for treatment of POP is good, the recurrence rate is low, the quality of life of the patients is improved obviously, and the short - term curative effect is stable, but the long -term curative effect needs further observation.

关 键 词：全盆底重建术 经阴道子宫切除术 盆腔器官脱垂 

分 类 号：R713[医药卫生—妇产科学]