Prolift盆底重建术治疗盆腔器官脱垂的临床疗效观察  

Clinical observation of Prolift pelvic floor reconstruction in the treatment of pelvic organ prolapse

作　　者：喻世莉 李毅[1] 王茹 Yu Shili;Li Yi;Wang Ru(Department of Obstetrics and Gynecology, Ya'an People's Hospital, Ya'an 625000, China)

机构地区：[1]四川省雅安市人民医院妇产科,625000

出　　处：《中国医师杂志》2018年第12期1833-1836,共4页Journal of Chinese Physician

摘　　要：目的分析Prolift盆底重建术对盆腔器官脱垂的疗效及对生活质量问卷(P-QOL)评分、盆底肌力水平的影响。方法选取2014年4月至2017年2月本院收治的盆腔器官脱垂患者63例,按随机数字表法分两组。对照组患者采用传统阴式子宫切除及阴道前后壁修补术治疗,观察组患者采用Prolift盆底重建术治疗,观察两种方法治疗后的临床效果。结果观察组患者手术时间短于对照组,术中出血量和术后残余尿量均少于对照组,术后1年盆底肌力水平优于对照组,生活质量高于对照组,术后新发排尿困难率和术后复发率均低于对照组(P <0. 05);但术后保留导尿时间、住院时间与对照组比较,差异无统计学意义(P> 0. 05)。结论 Prolift盆底重建术纠正盆腔器官脱垂手术简单、创伤小、安全性高,可促进盆底肌肉功能的恢复,疗效优于传统手术。Objective To analyze the effect of Prolift pelvic floor reconstruction on pelvic organ prolapse and its influence on quality of life (P-QOL) score and pelvic floor muscle strength level. Methods From April 2014 to February 2017, 63 patients with pelvic organ prolapse were selected and randomly divided into two groups. The patients in the control group were treated with traditional vaginal hysterectomy and anterior and posterior vaginal wall repair, while the patients in the observation group were treated with Prolift pelvic floor reconstruction. The clinical effect of two methods after treatment were compared. Results The operative time of the observation group was shorter than that in the control group. The amount of intraoperative bleeding and residual urine after operation in the observation group were lower than those in the control group. The pelvic floor muscle strength level in the observation group was superior to that in the control group. Besides, the quality of life in the observation group was higher than that in the control group one year after operation. The rate of postoperative dysuria and recurrence were lower than that of the control group (P<0.05), but there was no significant difference between the two groups (P>0.05). Conclusions Prolift pelvic floor reconstruction is a simple, less invasive and safe procedure for the correction of pelvic organ prolapse. It can promote the recovery of pelvic floor muscle function, and the curative effect is better than that of traditional surgery.

关 键 词：盆腔器官脱垂/外科学 外科网 手术后并发症 治疗结果 

分 类 号：R713[医药卫生—妇产科学]