Avaulta前盆底修复系统行改良前盆底重建术治疗前盆腔功能障碍的疗效  

Curative effect of Avaulta anterior pelvic floor repair system in the treatment of anterior pelvic dysfunction by modified anterior pelvic floor reconstruction

作　　者：叶黔 罗家寿[1] 朱银芳 王翠兰[1] YE Qian;LUO Jia-shou;ZHU Yin-fang(Department of Obstetrics and Gynecology,Nanping First Hospital Affiliated to Fujian Medical University,Nanping Fujian 353000,China)

机构地区：[1]福建医科大学附属南平市第一医院妇产科,福建南平353000

出　　处：《临床和实验医学杂志》2020年第20期2216-2219,共4页Journal of Clinical and Experimental Medicine

基　　金：福建省卫生厅科研基金项目(编号:2018FJ4096)。

摘　　要：目的研究Avaulta前盆底修复系统行改良前盆底重建术治疗前盆腔功能障碍的效果。方法采用回顾性分析方法,研究对象为2012年3月至2019年9月福建医科大学附属南平市第一医院的100例前盆腔功能障碍患者,根据不同手术方式划分为2个小组(对照组与研究组,各50例)。对照组选用传统阴式手术治疗,研究组选用Avaulta前盆底修复系统行改良前盆底重建术治疗。比较两组患者术前、术后6个月盆底功能障碍评分、生活质量评分与术中出血量、手术时间、留置尿管时间、住院时间及并发症(阴道紧缩感、血肿及感染)发生率。结果两组患者术后盆底功能障碍评分较术前更低,差异有统计学意义(P<0.05)。研究组较对照组术后盆底功能障碍评分[(4.73±1.25)分vs.(21.09±7.22)分]更低,生活质量评分更高,术中出血量[(166.82±53.24)mL vs.(253.61±65.15)mL]、并发症发生率(2.00%vs.14.00%)更低,手术时间[(104.18±12.03)min vs.(128.39±20.15)min]、留置尿管时间[(2.98±1.07)d vs.(5.31±1.36)d]、住院时间[(7.03±1.09)d vs.(9.77±1.38)d]更短(P<0.05)。结论Avaulta前盆底修复系统行改良前盆底重建术治疗前盆腔功能障碍的效果显著,可有效改善患者盆底功能障碍,提升其生活质量,还可减少并发症,促使患者快速康复。Objective To study the effect of Avaulta anterior pelvic floor repair system in the treatment of anterior pelvic dysfunction by modified anterior pelvic floor reconstruction.Methods Retrospective analysis was performed on 100 patients with anterior pelvic dysfunction who were admitted to Nanping First Hospital Affiliated to Fujian Medical University from March 2012 to September 2019.The patients were divided into two groups according to different surgical methods(50 patients in the control group and 50 patients in the study group).The control group was treated with traditional vaginal surgery,while the research group was treated with Avaulta anterior pelvic floor repair system for improved anterior pelvic floor reconstruction.Pelvic floor dysfunction score and quality of life scoreBefore and 6 months after operation were compared with intraoperative blood loss,operation time,indwelling catheter time,hospital stay and incidence of complications(vaginal constriction,hematoma and infection)in the two groups.Results The scores of postoperative pelvic floor dysfunction in the two groups were lower than those before operation,and the difference was statistically significant(P<0.05).Compared with the control group,the study group had lower postoperative pelvic floor dysfunction score[(4.73±1.25)scores vs.(21.09±7.22)scores],higher quality of life score,lower intraoperative blood loss[(166.82±53.24)mL vs.(253.61±65.15)mL],lower incidence of complications(2.00%vs.14.00%),shorter operative time[(104.18±12.03)min vs.(128.39±20.15)min],indwelling catheter time[(2.98±1.07)d vs.(5.31±1.36)d],and shorter hospitalization time[(7.03±1.09)d vs.(9.77±1.38)d](P<0.05).Conclusion Avaulta anterior pelvic floor repair system with improved anterior pelvic floor reconstruction has a significant effect on the treatment of anterior pelvic floor dysfunction,which can effectively improve patients'pelvic floor dysfunction,improve their quality of life,reduce complications,and promote rapid recovery of patients.

关 键 词：盆腔脏器脱垂 Avaulta前盆底修复系统 改良前盆底重建术 前盆腔功能障碍 

分 类 号：R713[医药卫生—妇产科学]