改良阴道悬吊术治疗盆底功能障碍性疾病的疗效观察  

The Curative Effect Observation of Female Pelvic Floor Dysfunction by the Modified Percutaneous Tension-free Vaginal Tape

作　　者：赖影 

机构地区：[1]罗定市人民医院妇产科,广东罗定527200

出　　处：《辽宁医学院学报》2013年第2期53-54,共2页Journal of Liaoning Medical University (LNMU) Bimonthly

摘　　要：目的观察改良经皮下无张力阴道悬吊术治疗女性盆底功能障碍性疾病的疗效,并对其安全性分析。方法 回顾性分析2011年3月至2012年6月在我院治疗的女性盆底功能障碍性疾病患者80例的资料,本组患者行改良经皮下无张力阴道悬吊术治疗,观察手术时间、术中出血、术后住院时间,并对其进行随访,随访1年,观察患者复发情况、网片感染、组织器官肿痛、有无尿失禁症状、阴道功能及并发症情况。结果 80例患者均顺利完成手术,行阴道前后壁修补结合前壁网片悬吊方法,无膀胱损伤、直肠损伤及组织器官血肿症状;手术总时间为(92.3±34.2)min;术中出血量为(135.3±64.7)mL;术后保留尿管时间为术后(3.6±1.6)d;住院时间为(7.5±1.3)d。所有患者均得到随访,术后复发率为3.75%;无器官组织损伤,术后网片感染发生率为6.25%;压力性尿失禁治愈率为77.8%。结论 改良经皮下无张力阴道悬吊术治疗女性盆底功能障碍性疾病的疗效俱佳,易操作,近期效果稳定,术后复发率低,术后并发症少,能为女性盆底功能障碍性疾病的治疗提供临床依据。Objective To observe the clinical effect of female pelvic floor dysfunction by the modified percutaneous tension -free vaginal tape, and to analyze its safety. Methods The clinical data of 80 female patients with pelvic floor functional obstacle disease from March 2011 to June 2012 in our hospital were analyzed retrospectively. All patients were giv- en the treatment of the modified percutaneous tension - free vaginal tape. Subsequently, operation time, intraoperative bleed- ing and postoperative hospital stay were observed. For the following year, recurrence, piece infection, sore tissues and or- gans, presence of urinary incontinence symptom, vaginal function and complications situation were observed. Results 80 patients received successful surgery. By making use of line of anterior and posterior vaginal wall repair combined with anterior wall suspension, there was not bladder injury, rectal injury or tissues and organs hematoma symptoms. The total time for sur- gery was （92. 3 ±34. 2） min. During the operation, the amount of bleeding was （135.3 ±64. 7） mL. The retained urethra time for postoperative was （3. 6± 1.6） d. Length of hospital stay was （7.5± 1.3） d. All patients were followed up, and the recurrence rate was 3. 75%, postoperative piece infection rate was 6. 25% without organ tissue damage, stress urinary incon- tinence cure rate was 77. 8%. Conclusion The clinical effect of female pelvic floor dysfunction by the modified percntane- ous tension - free vaginal tape is good and sound. The treatment has the characteristic of easy operation, stable recent effect, and low recurrence rate. It can provide clinical evidence for the treatment of female pelvic floor disease.

关 键 词：女性盆底功能障碍性疾病 经皮下无张力阴道悬吊术 安全性 

分 类 号：R713.3[医药卫生—妇产科学]