经阴道网片植入盆底重建术治疗产后盆腔器官脱垂患者的短期随访研究  

Short-term follow-up study of treat patients with pelvic organ prolapse after parturition by vaginal mesh implanted to reconstruct prlvic floor

作　　者：王娜[1] 张小环 姚利[1] 李松[2] 冯磊[2] WANG Na;ZHANG Xiao-huan;YAO Li;LI Song;FENGLei(No II Department of Obstetrics,Nanyang Central Hospital,Henan Province,473000,China;No II Department of Gynecology,Nanyang Central Hospital,Henan Province,473000,China)

机构地区：[1]南阳市中心医院产二科,河南南阳473000 [2]南阳市中心医院妇二科,河南南阳473000

出　　处：《中国医疗美容》2020年第6期55-59,共5页China Medical Cosmetology

摘　　要：目的探讨经阴道网片植入盆底重建术治疗产后盆腔器官脱垂患者的应用效果,为临床治疗提供参考。方法回顾性收集我院2017年6月-2019年12月收治的115例盆腔器官脱垂患者临床资料,根据其治疗方式分为对照组(n=53)与观察组(n=62)。对照组行子宫切除术及阴道前后壁修补术治疗,观察组行经阴道网片植入盆底重建术治疗,比较两组围术期指标、阴道相关指标、盆底障碍功能及并发症总发生率。结果观察组手术总用时、术中出血量、导尿管留置时间、总住院时间均较对照组低,差异有统计学意义(P<0.05);两组术后3个月阴道平均长度(TVL)、阴裂长度(GH)均较治疗前降低,会阴体长度(PB)较治疗前升高,但观察组变化幅度较对照组低,差异有统计学意义(P<0.05);两组术后3个月盆底功能障碍问卷-20(PFIQ-20)量表评分较术前降低,且观察组较对照组低,差异有统计学意义(P<0.05);观察组并发症总发生率较对照组高,差异有统计学意义(P<0.05)。结论产后盆腔器官脱垂患者应用经阴道网片植入盆底重建术治疗可缩短手术用时,减少术中出血量,有效改善阴道指标与盆底障碍功能,促进患者转归,但术后并发症发生率较高,临床需酌情应用。Objective To explore the effect of treating patients with pelvic organ prolapse after parturition by vaginal mesh implanted to reconstruct prlvic floor,and to provide reference for clinical treatment.Methods The clinical data of 115 patients with pelvic organ prolapse who were admitted to our hospital from June 2017 to December 2019 were retrospectively collected.They were divided into a control group(n=53)and an observation group(n=62)according to their treatment.The control group underwent hysterectomy and anterior and posterior colporrhaphy.The observation group underwent transvaginal mesh implantation for pelvic floor reconstruction.The perioperative indicators,vaginal indicators,pelvic floor dysfunction and total incidence of complications were compared between the two groups.Results The total operation time,intraoperative blood loss,catheter retention time,and total hospitalization time of the observation group were lower than those of the control group,the difference was statistically significant(P<0.05);the average length of the vagina at 3 months(TVL)in the two groups after operation,Compared with before treatment,the length of the genital fissure(GH)is decreased,the length of the perineal body(PB)is increased if compared with before treatment,and compared with the control group,the indicators of the observation group changed significantly,the difference was statistically significant(P<0.05);The pelvic floor dysfunction questionnaire-20(PFIQ-20)scale score of the two groups after 3 months was lower than that before the operation,and the observation group was lower than the control group,the difference was statistically significant(P<0.05);complications in the observation group The total incidence was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Transvaginal mesh implantation for pelvic floor reconstruction in patients with pelvic organ prolapse after parturition can shorten the operation time,reduce intraoperative blood loss,effectively improve

关 键 词：产后盆腔器官脱垂 经阴道网片植入盆底重建术 子宫切除术及阴道前后壁修补术 阴道相关指标 盆底障碍功能 并发症 

分 类 号：R714.46[医药卫生—妇产科学]