经阴道植入网片全盆底重建术治疗盆腔器官脱垂的疗效及对性功能的影响  

Effect of total pelvic floor reconstruction with transvaginal mesh implantation on pelvic organ prolapse and its influence on sexual function

作　　者：陈黎 Chen Li(The First of Department of Gynecology,Hunan Maternal and Child Health Hospital,Hunan Province,Changsha 410000,China)

机构地区：[1]湖南省妇幼保健院妇一科,湖南长沙410000

出　　处：《实用妇科内分泌电子杂志》2023年第10期7-9,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨经阴道植入网片全盆底重建术(TVM)治疗盆腔器官脱垂(POP)的疗效及对性功能的影响。方法选取50例POP患者,随机分为对照组与观察组,各25例。对照组使用传统阴式子宫切除术及阴道前后壁修补术,观察组使用TVM。比较两组的手术指标、并发症、性功能质量及相关指标。结果观察组的手术时间、留置尿管时间、住院时间均短于对照组,术中出血量少于对照组(P<0.05);观察组的尿潴留、盆腔感染、膀胱损伤、下肢深静脉血栓、网片暴露等并发症发生率低于对照组(P<0.05);两组的复发率比较,差异无统计学意义(P>0.05);观察组术后3个月的盆底功能障碍问卷(PFDI-20)评分明显低于对照组,盆腔脏器脱垂尿失禁性功能问卷(PISQ-12)评分明显高于对照组(P<0.05)。结论TVM治疗POP的疗效显著,安全性较高,并发症发生率较低,术后盆底功能及性生活质量恢复较好。Objective To investigate the effect of total pelvic floor reconstruction with transvaginal mesh(TVM)implantation in the treatment of pelvic organ prolapse and its influence on sexual function.MethodsA totalof 50 patients with pelvic organ prolapse(POP)were selected and randomly divided into the control group and the observation group,with 25 cases in each group.The control group used traditional vaginal hysterectomy and vaginal anterior and posterior wall repair,and the observation group used total pelvic floor reconstruction with TVM implantation.The operation indexes,complications,sexual function and related indexes of the two groups were compared.Results The operative time,urinary catheter retention time and hospital stay in the observation group were shorter than those in the control group,and the intraoperative blood loss in the observation group was less than that in the control group(P<0.05).The incidence of urinary retention,pelvic infection,bladder injury,deep vein thrombosis and mesh exposure in the observation group was lower than that in the control group(P<0.05).There was no significant difference in the recurrence rate between the two groups(P>0.05).The pelvic floor distress inventory-short form 20(PFDI-20)score of the observation group at 3 months after surgery was significantly lower than that of the control group,and the pelvic organ prolapsed-urinary incontinence sexual questionnaire-12(PISQ-12)score of the observation group at 3 months after surgery was significantly higher than that of the control group(P<0.05).Conclusion TVM has significant efficacy,high safety,low complication rate,and better recovery of pelvic floor function and sexual life quality.

关 键 词：盆腔器官脱垂 经阴道植入网片全盆底重建术 疗效 性功能 

分 类 号：R713[医药卫生—妇产科学]