盆底重建术在盆腔脏器脱垂中的应用(1)
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[摘要] 目的 探讨盆底重建术治疗盆腔脏器脱垂的临床疗效。 方法 选择2009年1月~2011年7月我院收治的盆腔脏器脱垂患者62例，其中观察组32例行盆底重建组术，对照组30例行传统阴式手术，比较两组患者术中、术后指标以及随访期间POP-Q分期情况。 结果 观察组手术时间、术中出血量及术后住院时间均明显少于或短于对照组，差异有统计学意义(P < 0.05)；观察组12个月治愈率为90.9%(20/22)，明显高于对照组的63.2%(12/19)，差异有统计学意义(P < 0.05)。 结论 利用Prolift补片系统进行盆底修复，可在保留子宫的同时改善盆底功能，降低术后复发率。
[关键词] 盆腔脏器脱垂；盆底重建术；Prolift补片系统
[中图分类号] R713 [文献标识码] A [文章编号] 1673-7210(2012)04(a)-0079-02
Application of pelvic floor reconstruction surgery in pelvic organ prolapse
LIU Jiayan WANG Xingdan ZHOU Guoping PANG Yi LI Meiying
Department of Gynecology, Yulin First People's Hospital, Guangxi Zhuang Autonomous Region, Yulin 537000, China
[Abstract] Objective To investigate the curative effects of pelvic floor reconstruction surgery in the treatment of pelvic organ prolapse (POP). Methods 62 patients with POP admitted and treated in our hospital from January 2009 to July 2011 were selected, of which 32 patients of the observation group received pelvic floor reconstruction surgery and 30 patients of the control group received traditional vaginal surgery. The intraoperative and postoperative indicators and follow-up POP-Q stages of the two groups were compared. Results The operative time, intraoperative blood loss and postoperative hospital stay of the observation group were significantly less than or shorter than those of the control group, with statistically significant differences (P < 0.05); The 12-month cure rate of the observation group was 90.9% (20/22), which was significantly higher than the 63.2% (12/19) of the control group, with statistically significant difference (P < 0.05). Conclusion The application of Prolift patch system in pelvic floor reconstruction can improve the pelvic floor function and reduce the postoperative recurrence rate while maintaining the uterus.
[Key words] Pelvic organ prolapse; Pelvic floor reconstruction surgery; Prolift patch system
女性盆底功能障碍(pelvic floor dysfunction disease，PFD)是以盆腔脏器脱垂(pelvic organ prolapse，POP)和压力性尿失禁(stress urinary incontinence，SUI)为主要表现的中老年妇女常见疾病。传统修补和固定方式对正常解剖造成损害或扭曲，且未能改善阴道上端缺陷，容易使未膨出部位局部受力升高而POP复发，近年来随着对盆底整体理论研究的深入，以人工材料针对性修复、替代薄弱缺损盆底筋膜组织的盆底重建手术得到越来越广泛的应用 ......
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