深钩引导前盆底重建术与经典术式治疗前盆腔缺陷的疗效及安全性分析  

Efficacy and safety comparison of deep hook guided anterior pelvic floor reconstruction and classical surgery in the treatment of anterior pelvic defects

作　　者：王荥[1] 雷丽[1] 卢深涛 赵成志 刘禄斌[1] 魏琳娜[1] WANG Ying;LEI Li;LU Shentao;ZHAO Chengzhi;LIU Lubin;WEI linna(Department of gynecologic pelvic floor and oncology,Chongqing health center for women and children,Chongqing 400021,China)

机构地区：[1]重庆市妇幼保健院妇科盆底与肿瘤科,400021

出　　处：《中国妇产科临床杂志》2022年第3期263-265,共3页Chinese Journal of Clinical Obstetrics and Gynecology

基　　金：重庆市科卫联合医学科研项目(2021MSXM050);重庆市技术创新与应用发展专项面上项目(cstc2019jscxmsxmX0209)。

摘　　要：目的 深钩引导前盆底重建术与经典术式治疗前盆腔缺陷所致的盆腔器官脱垂的疗效及安全性分析。方法 回顾性分析2016年1月至2017年12月重庆市妇幼保健院接受深钩引导前盆底重建术(观察组)47例和经典术式前盆底重建术(对照组)63例患者的临床资料。比较两组的手术时间和出血量等手术参数;比较两组并发症、脱垂复发及主观、客观满意度;比较两组患者术后生活质量评分(PFDI-20、PFIQ-7、PISQ-12)。结果 两组患者客观满意度(POP-Q评分)及PFDI-20、PFIQ-7和PISQ-12评分与术前比较差异均有统计学意义(P <0.05),术后1、3个月客观满意度差异均无统计学意义(P> 0.05),术后6个月客观满意度观察组显著优于对照组(P <0.05);手术相关参数比较,PGI-I评分显示观察组评分显著低于对照组(P <0.05),其余参数比较差异均无统计学意义(P>0.05)。结论 深钩引导前盆底重建术具有客观满意度高,术后生活质量优的明显优势,是一种值得推广的新型术式。Objective To compare the efficacy and safety of deep hook guided anterior pelvic floor reconstruction and classic operation in the treatment of pelvic organ prolapse caused by anterior pelvic defects.Methods The clinical data of 47 patients with deep hook guided anterior pelvic floor reconstruction(observation group)and 63 patients with classic anterior pelvic floor reconstruction(control group) in our department from January 2016to December 2017 were analyzed retrospectively. The operation time and bleeding volume were compared between the two groups. The complications, prolapse recurrence, subjective and objective satisfaction were compared between the two groups. The postoperative quality of life scores of the two groups were compared(PFDI-20, PFIQ-7, PISQ-12).Results There were significant differences between scores before and after the operation, in objective satisfaction(POP-Q score), PFDI-20, PFIQ-7, PISQ-12 scores in both two groups(P < 0.05). There was no significant difference in objective satisfaction at 1 and 3 months after operation. The objective satisfaction of the observation group was significantly better than that of the control group at 6 months after operation(P < 0.05). The PGI-I score showed that the score of the observation group was significantly lower than that of the control group(P < 0.05), and there was no significant difference in other parameters. Conclusions Deep hook guided anterior pelvic floor reconstruction has the obvious advantages of high objective satisfaction and excellent postoperative quality of life. It is a new operation worthy of popularization.

关 键 词：盆腔器官脱垂 前盆底重建术 深钩引导 

分 类 号：R713[医药卫生—妇产科学]