全盆底重建技术治疗盆腔器官脱垂的疗效研究  

The Effect of Total Pelvic Floor Reconstruction in the Treatment of Pelvic Organ Prolapse

作　　者：卢泽慧 谢静燕[2] 赵万香 

机构地区：[1]盱眙县人民医院妇产科,盱眙211700 [2]南京市第一医院妇产科,南京210001 [3]南京市六合区人民医院妇产科,南京211500

出　　处：《中国现代手术学杂志》2016年第6期457-459,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨全盆底重建技术治疗盆腔器官脱垂的疗效。方法将我院2014年6月～2016年6月年收治的50例盆腔器官脱垂患者,随机分为两组。A组患者采取阴式子宫切除联合阴道壁修补术,B组患者采取全盆底重建术。术后进行定期随访,比较两组患者手术时间、术中出血量、保留尿管时间、平均住院时间、阴道长度、治愈率、复发率以及性生活满意率、术后POP-Q分度等指标。结果两组患者手术时间、术中出血量比较无统计学差异（P〉0.05）。B组患者保留尿管时间以及平均住院时间均明显短于A组,B组者阴道长度明显长于A组,治愈率和性生活满意率明显高于A组,复发率则明显低于A组;术后POP-Q分度优于A组。上述比较两组患者差异明显,有统计学意义（P〈0.05）。结论盆底重建术用以治疗盆腔器官脱垂损伤相对较小,可以取得良好的疗效。Objective To investigate the effect of total pelvic floor reconstruction in the treatment of pelvic organ prolapse. Methods Fifty cases of pelvic organ prolapse treated in our hospital from June 2014 to June 2016 were randomly divided into two groups. Patients in group A were treated with vaginal hysterectomy and vaginal wall repair,and the patients in group B were treated with total pelvic floor reconstruction. It was compared between the two groups of operation time,intraoperative bleeding volume,indwelling catheter time,average hospitalization time,vaginal length,cure rate,recurrence rate and sexual life satisfaction rate,and postoperative POP-Q score. Results All the patients were operated successfully and followed up regularly.The difference of operation time and blood loss of the two groups were not significant（ P〈0. 05）. Indwelling catheter time and average hospitalization time of group B was significantly less than that of group A. Vaginal length of group B was significantly longer than that of group A. The cure rate and life satisfaction rate was significantly higher than that of group A. Recurrence rate was obviously lower than that of group A. Postoperative POP-Q score was better than that of group A. The comparison between the two groups was significantly different（ P〈0. 05）. Conclusion Pelvic floor reconstruction for the treatment of pelvic organ prolapse can achieve good curative effect with less trauma.

关 键 词：盆底重建 盆腔脏器膨出 

分 类 号：R713[医药卫生—妇产科学]