Prolift全盆底重建术联合经阴道骶棘韧带悬吊术治疗子宫脱垂患者的效果  

Effects of Prolift total pelvic floor reconstruction combined with transvaginal sacrospinous ligament suspension in treatment of patients with uterine prolapse

作　　者：胡艳荣 王寒星 HU Yanrong;WANG Hanxing(Department of Obstetrics and Gynecology of Lushan County Maternal and Child Health Hospital,Pingdingshan 467300 Henan,China)

机构地区：[1]鲁山县妇幼保健院妇产科,河南平顶山467300

出　　处：《中国民康医学》2024年第10期82-85,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察Prolift全盆底重建术联合经阴道骶棘韧带悬吊术治疗子宫脱垂患者的效果。方法:选取2020年6月至2023年1月该院收治的166例子宫脱垂患者进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各83例。对照组采用经阴道骶棘韧带悬吊术治疗,研究组在对照组基础上联合Prolift全盆底重建术治疗。比较两组围术期指标(手术时间、术中出血量、术后自主排尿时间)水平,术前和术后3个月盆底功能[盆底障碍影响简易问卷-7(PFIQ-7)、盆底功能障碍问卷(PFDI-20)]评分、膀胱功能指标(残余尿量、最大尿流率、最大尿道压)水平,1年手术成功率和并发症发生率。结果:研究组手术时间长于对照组,差异有统计学意义(P<0.05);术后3个月,研究组PFIQ-7、PFDI-20评分均低于对照组,差异有统计学意义(P<0.05);术后3个月,研究组残余尿量少于对照组,最大尿流率、最大尿道压水平高于对照组,差异均有统计学意义(P<0.05);研究组1年手术成功率为96.39%(80/83),高于对照组的87.95%(73/83),差异有统计学意义(P<0.05);两组术中出血量、术后自主排尿时间和并发症发生率比较,差异均无统计学意义(P>0.05)。结论:Prolift全盆底重建术联合经阴道骶棘韧带悬吊术治疗子宫脱垂患者可降低盆底功能评分,改善膀胱功能指标水平,提高1年手术成功率,效果优于单纯经阴道骶棘韧带悬吊术治疗,但需延长手术时间。Objective:To observe effects of Prolift total pelvic floor reconstruction combined with transvaginal sacrospinous ligament suspension in treatment of patients with uterine prolapse.Methods:A prospective study was conducted on 166 patients with uterine prolapse admitted to this hospital from June 2020 to January 2023.According to the random number table method,they were divided into study group and control group,83 cases in each group.The control group was treated with transvaginal sacrospinous ligament suspension,while the study group was treated with Prolift total pelvic floor reconstruction on the basis of that of the control group.The perioperative indexes(operation time,intraoperative blood loss,postoperative spontaneous urination time)levels,the pelvic floor function[pelvic floor disorder impact questionnaire-7(PFIQ-7),pelvic floor dysfunction inventory(PFDI-20)]scores before and 3 months after the surgery,the bladder function indexes(residual urine volume,maximum urinary flow rate,maximum urethral pressure)levels,the 1-year operation success rate,and the incidence of complications were compared between the two groups.Results:The operation time of the study group was longer than that of the control group,and the difference was statistically significant(P<0.05).3 months after the surgery,the scores of PFIQ-7 and PFDI-20 in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).3 months after the surgery,the residual urine volume in the study group was less than that in the control group,the maximum urinary flow rate and the maximum urethral pressure level were higher than those in the control group,and the differences were statistically significant(P<0.05).The 1-year operation success rate in the study group was 96.39%(80/83),which was higher than 87.95%(73/83)in the control group,and the difference was statistically significant(P<0.05).However,there were no significant differences in the intraoperative blood loss,the postoperative spontaneous uri

关 键 词：Prolift全盆底重建术 经阴道骶棘韧带悬吊术 子宫脱垂 盆底功能 膀胱功能 手术成功率 并发症 

分 类 号：R711.74[医药卫生—妇产科学]