盆底重建术治疗盆腔器官脱垂63例分析  

Analysis of total pelvic floor reconstruction surgery in treatment of 63 cases of pelvic organ prolapse

作　　者：杨静 杨苏安 

机构地区：[1]长沙市第一医院,湖南长沙410002

出　　处：《中国现代医学杂志》2013年第34期89-92,共4页China Journal of Modern Medicine

摘　　要：目的探讨应用网片进行全盆底重建术治疗盆腔器官脱垂的疗效。方法对2011年3月~2012年5月该院妇科收治的盆腔器官脱垂、需要手术治疗的63例患者,分别应用网片进行全盆底重建术治疗34例（研究组）,应用阴式全子宫切除及阴道前后壁修补术治疗29例（对照组）。两组主观症状改善及客观POP-Q评分法进行评价。结果①术后3~6个月复查POP-Q评分测定阴道各指示点均在正常位置。研究组客观治愈率100%,对照组客观治愈率86%,两组比较差异有显著性（P〈0.05）;②术后研究组31例主观症状消失,治愈率91%,且无一例出现盆腔症状及肠道症状,3例出现膀胱症状。对照组24例主观症状消失,治愈率83%,出现1例盆腔症状,2例肠道症状及2例膀胱症状。两组主观症状治愈情况差异无显著性（P〉0.05）。结论应用网片治疗的全盆底重建术对于恢复女性盆底器官解剖结构及改善盆底功能障碍症状方面的疗效肯定。[ Objective ] To evaluate clinical effectiveness of total pelvic floor reconstruction surgery for repairing pelvic organ prolapse. [ Methods ] The clinical data of 63 patients with pelvic organ prolapsed that needed operation and were treated from March 2011 to May 2012 in Changsha No.1 Hospitalwas retrospectively analyzed. In these patients, 34 patients were treated with total pelvic floor reconstruction surgery （study group）, while 29 patients were treated with vaginal hysterectomy combined with anterior and posterior colporrhaphy （control group）. The subjective symptom cure rate and the objective outcomes were evaluated by Pelvic Organ Prolapse Quantitation in these two groups. [ Results ] （~） In 3 to 6 month-postoperative follow-up, the POP-Q were all 0 grade in study group. The anatomic cure rate was 100% in study group, while it was 86% in control group. There was a significant difference of anatomic cure rate in these two groups （P 〈0.05）. @ In study group 31 patients were reported symptoms relief with the objective cure rate of 91%. There was no post-operative pelvic discomfort or intestinal symptoms. In control group, 24 patients were reported symptoms relief with a cure rate of 83%. In control group, there was one pelvic discomfort, 2 intestinal symptoms, and 2 bladder symptoms. The patient subjective satisfaction rates had no significant difference （P 〉0.05） in two groups. [ Conclusion ] The total pelvic floor reconstruction is a safe and effective approach for the repair of severe pelvic organ prolapse.

关 键 词：盆底功能障碍 网片 全盆底重建术 

分 类 号：R687.3[医药卫生—骨科学]