摘要
目的:评估Prolift前路并阴道后壁补片治疗Ⅱ～Ⅲ度盆腔器官脱垂(POP)的有效性和安全性。方法:对POP定量系统(POP-Q)评价为Ⅱ～Ⅲ度的25例女性POP患者进行Prolift前路并阴道后壁补片全盆底重建,采用主观评价(盆底功能障碍影响问卷简版评分)和客观评价(盆腔器官脱垂定量分期法)等方法对围手术期及术后近期各项指标的变化及并发症发生情况进行分析。结果:Prolift前路并阴道后壁补片全盆底重建术的手术时间30～60 min;术中出血量30～90 ml,均未发生周围器官损伤、大出血等手术并发症;术后住院时间3～6 d,随访时间1～12个月,术后4周复查时均无阴道壁脱垂或子宫脱垂,术后POP-Q各指标及盆底功能评分较术前显著降低(P<0.01)。结论:Prolift前路并阴道后壁补片全盆底重建术具有创伤小、疼痛轻、恢复快、经济、安全等特点,近期疗效满意。
Objective： To evaluate the clinical efficacy and safety of Prolift anterior pelvic floor reconstruction combined with vaginal posterior Gynemesh in the treatment of stage Ⅱto Ⅲ pelvic organ prolapse（POP）.Methods： Twenty-five patients with stage Ⅱto Ⅲ pelvic organ prolapse rated by POP quantification（POP-Q） were treated with Prolift anterior pelvic floor reconstruction combined with vaginal posterior Gynemesh.The changes of the indicators and complications of all patients were analysed by subjective assessment（according to pelvic organ prolapse quality of life score） and objective assessment（according to POP-Q examination score） in perioperative and postoperative period.Results： The operation time and blood loss amount were ranging from 30 to 60 minutes and ranging from 30 to 90 ml,respectively.No surrounding organ damage and massive hemorrhage were found.The mean hospital stays time and median following up time were ranging from 3 to 6 days and ranging from 1 to 12 months,respectively.No vaginal wall and uterine prolapse were found at 4 weeks after the operation.The postoperation indicators of POP-Q and the score of pelvic floor function were lower than those in preoperation（P 0.01）.Conclusions： Prolift anterior pelvic floor reconstruction combined with vaginal posterior Gynemesh is few complications,light pain,qucik recovery,economy and safe.Its short-term curative effects are good,and long-term effects are uncertain.
出处
《蚌埠医学院学报》
CAS
2013年第8期964-966,共3页
Journal of Bengbu Medical College
关键词
子宫疾病
盆腔器官脱垂
盆底重建术
uterine disease
pelvic organ prolapse
pelvic floor reconstruction
