经阴道子宫切除联合前后壁修补术治疗盆腔器官脱垂观察  

Observation on the treatment of pelvic organ prolapse with vaginal hysterectomy combined with anterior and posterior wall repair surgery

作　　者：张安乐 范兆轩 邬小龙 唐登凤 张秋萍 包捷 朱朝霞 曹欠南 Zhang Anle;Fan Zhaoxuan;Wu Xiaolong;Tang Dengfeng;Zhang Qiuping;Bao Jie;Zhu Chaoxia;Cao Qiannan(Department of Obstetrics and Gynecology,Ma'anshan General Hospital of Ranger-Duree Healthcare,Ma'anshan 243000,Anhui Province,China)

机构地区：[1]德驭医疗马鞍山总医院妇产科,安徽马鞍山243000

出　　处：《现代科学仪器》2024年第5期114-118,共5页Modern Scientific Instruments

摘　　要：目的:探究经阴道子宫切除+前后壁修补术对盆腔器官脱垂(POP)患者的影响。方法:以80例POP患者为研究对象,观察组行经阴道全子宫切除+阴道前后壁修补术,对照组行前盆腔网片悬吊术。比较两组患者手术情况、盆底功能、肛提肌收缩功能、术后并发症及复发差异。结果:观察组术中出血量、术后留置尿管及住院时间高于对照组,观察组PFDI-20、PFIQ-7高于对照组,观察组valsalva下LHS高于、LAT低于对照组,观察组网片侵蚀/暴露发生率低于对照组(P均<0.05)。结论:经阴道子宫切除+前后壁修补术的术中、术后影响均更少,但盆底功能恢复效果不如前盆腔网片悬吊术。Objective:To explore the influenceof vaginal hysterectomy+anterior and posterior wall repair onpatients with pelvic organ prolapse(POP).Methods:80 patients with POPwere selected as the study subjects.The observation groupunderwent vaginal hysterectomy+vaginal anterior and posterior wall repair,and the control group was given anterior pelvic mesh suspension.The differences in surgical conditions,pelvic floor function,levator ani muscle contraction function,postoperative complications and recurrence were compared between the two groups of patients.Results:The intraoperative blood loss,postoperative catheter indwelling time and hospital stay in theobservation group were more or longer than those in the control group,the scores of PFDI-20 and PFIQ-7 were higher than those in the control group,and the LHS in valsalva actionwas higher while the LAT was lower compared to the control group,and the incidence rate of mesh erosion/exposurewas lower compared with that in the control group(all P<0.05).Conclusion:Vaginal hysterectomy+anterior and posterior wall repair has less intraoperative and postoperative effects,but its recovery effect on pelvic floor function is not as good as anterior pelvic mesh suspension.

关 键 词：盆腔器官脱垂 经阴道子宫切除 前后壁修补术 前盆腔网片悬吊术 盆底功能 

分 类 号：R246.3[医药卫生—针灸推拿学] R271.9[医药卫生—中医临床基础]