两种术式治疗前盆腔器官脱垂的疗效评价  

Effect Evaluation of Two Surgical Methods in Treatment of Pelvic Organ Prolapse

作　　者：冼家富 周秀春[1] 李惠玲[1] XIAN Jia-fu;ZHOU Xiu-chun;LI Hui-ling(Jiangmen City Xinhui District Maternal and Child Health Care Hospital of Guangdong,Jiangmen,Guangdong,529100)

机构地区：[1]广东省江门市新会区妇幼保健院

出　　处：《智慧健康》2019年第30期169-170,共2页Smart Healthcare

摘　　要：目的探讨阴道前壁黏膜瓣悬吊与骶韧带耻骨阴道肌交叉缝合两种术式治疗前盆腔器官脱垂的治疗效果。方法选我院2016年4月至2017年10月收治盆腔器官脱垂患者50例随机化分组,阴道前壁黏膜瓣悬吊术(研究组)与骶韧带耻骨阴道肌交叉缝合术(对照组)各25例治疗效果对比。结果两组主观治愈率100%,术后12个月研究组前盆腔脱垂复发3例(POP-QⅠ度),客观治愈率88%,对照组前盆腔脱垂复发2例(POP-QⅠ度),客观治愈率92%,统计学无明显差异。两组术后生活质量、性生活均明显改善。结论两种术式治疗效果相当,但随诊时间短,需继续随访复发情况。Objective To investigate curative effect of anterior vaginal wall mucosal flap suspension and sacral ligament pubic vaginal muscle cross suture in treatment of pelvic organ prolapse. Methods Choose 50 cases pelvic organ prolapse patients in our hospital from April 2016 to October 2017, divide them into two groups randomly: vaginal anterior wall mucosal flap suspension(study group) and sacral ligament pubic vaginal muscle cross suture(control group), 25 cases in each group. Compare treatment effect of two groups. Results Subjective cure rate of two groups was 100%. 3 cases showed anterior pelvic prolapse recurrence(POP-Q I degree) in study group, with objective cure rate of 88%. 2 cases showed anterior pelvic prolapse recurrence(POP-Q I degree) in control group, with objective cure rate of 92%, with no significant difference between two groups. Life quality and sexual life of two groups was significantly improved after operation. Conclusion The two methods has similar curative effect, but it is necessary to follow up recurrence situation for short follow-up time.

关 键 词：阴道前壁黏膜瓣悬吊术 骶韧带耻骨阴道肌交叉缝合术 前盆腔脱垂 

分 类 号：R71[医药卫生—妇产科学]