Prolift盆底重建术治疗老年重度盆腔器官脱垂的临床分析  

Clinical analysis of Prolift pelvic floor reconstruction in the treatment of elderly patients with severe pelvic organ prolapse

作　　者：向睿 叶礼翠 杨智玲 孟侠 刘海凤 王静依 Xiang Rui;Ye Licui;Yang Zhiling;Meng Xia;Liu Haifeng;Wang Jingyi(Department o fObstetrics and Gynecology,Hospital 416 ofNuclear Industry Group(The Second Affiliated Hospital of Chengdu Medical College),Chengdu,Sichuan,610000,P.R.China)

机构地区：[1]成都医学院第二附属医院·核工业四一六医院妇产科,四川成都610000

出　　处：《老年医学与保健》2020年第4期550-553,共4页Geriatrics & Health Care

基　　金：四川省卫生健康委员会科研项目(19PJ211)。

摘　　要：目的研究Prolift盆底重建术在老年重度盆腔器官脱垂(pelvic organ prolapse,POP)患者中的临床应用价值,为治疗该病症提供方法。方法回顾性分析2015年3月-2019年3月于本院接受住院治疗的87例重度POP患者临床资料,按治疗方法差异分为观察组(n=44)和对照组(n=43)。观察组采取Prolift盆底重建术治疗,对照组采取传统阴式子宫切除术及阴道前后壁修补术治疗。评估并比较2组手术指标、术前及术后盆底肌力、生活质量、术后并发症和复发情况。结果观察组的手术时间明显短于对照组,术中出血量明显少于对照组,术后残余尿量明显多于对照组,差异均有统计学意义(P<0.05)。观察组患者术后1年的盆底肌静态张力、动态张力及收缩力均比同组术前及对照组术后1年升高(P<0.05),而2组术后1年肌电位差异无统计学意义(P>0.05)。术后1年时,2组各项生活质量评分均较同组术前显著降低(P<0.05),而观察组评分均显著低于对照组(P<0.05)。观察组术后并发症发生率及术后复发率均明显低于对照组(P<0.05)。结论Polifl盆底重建术可治疗老年重度POP,疗效确切,创伤小,安全性高;在保留子宫的同时,可完成盆底结构重建,促进盆底肌肉功能的恢复,是治疗老年POP的有效方法。Objective To study the clinical application value of Prolift pelvic floor reconstruction in elderly patients with severe pelvic organ prolapse(POP),and to provide a method for the treatment of this disease.Methods The clinical data of 87 patients with severe POP who were treated in our hospital from March 2015 to March 2019 were retrospectively analyzed.They were divided into observation group(n=44)and control group(n=43)according to the differences in treatment methods.The control group was treated with traditional vaginal hysterectomy and vaginal anterior and posterior wall repair,and the observation group was treated with Prolift pelvic floor reconstruction.The operation indexes,pelvic floor muscle strength,quality of life,postoperative complications and recurrencewere evaluated and compared between the two groups.Results The operation time of the observation group was shorter than that of the control group,the intraoperative blood loss was less than that of the control group,and the postoperative residual urine volume was more than that of the control group(P<0.05).The static tension,dynamic tension and contractility of the pelvic floor muscles of the observation group 1 year after surgery increased compared with those before treatment and those of the control group 1 year after surgery(P<0.05),but there was no statistically significant difference in myoelectric potential between the two groups(P>0.05).At 1 year after operation,the scores of life quality of the two groups were significantly lower than those before operation of the same group(P<0.05),while the scores of the observation group were significantly lower than those of the control group(P<0.05).The incidence of complications and recurrence rate in the observation group were lower than those in the control group(P<0.05).Conclusion Polifl pelvic floor reconstruction is less invasive and highly safe.It can complete the reconstruction of the pelvic floor structure and promote the recovery of the function of the pelvic floor muscles,while preserving the

关 键 词：老年 重度盆腔器官脱垂 Prolift盆底重建术 临床价值 盆底肌力 生活质量 

分 类 号：R713[医药卫生—妇产科学]