摘要
目的探讨手术治疗盆腔脏器脱垂的效果。方法选取2010年1-3月入院治疗的盆腔脏器脱垂患者137例作为研究对象,根据手术方式分为4组,A组85例为阴式全子宫切除术联合阴道前后壁修补术,B组21例全盆腔重建术（切除子宫）,C组14例全盆腔重建术（保留子宫）,D组17例阴道封闭术,记录4组的手术时间、术中出血量、住院时间;观察A、B、C组的术后POP-Q分度指示点测量值及盆底肌肌力。结果 A组的手术时间、住院时间分别为（120.43±36.95）min、（11.05±3.91）d,均较B、C、D组短,术中出血量为（40.02±35.27）ml,较B、C、D组少（P〈0.05）。A组的Bp为（-4.13±0.73）cm,高于B、C组,A组的C为（-5.05±2.4）cm,低于B、C组（P〈0.05）。随访12-18个月,A、B、C组的盆底肌肌力差异无统计学意义（P〉0.05）。结论 4种手术均可用于盆腔脏器脱垂的治疗,治疗期间可根据患者的实验室检查、POP-Q分度、意愿等选择合适的手术方式治疗。
Objective To investigate the effect of operation treating pelvic organ prolapse. Methods 137 patients with pelvic organ prolapse treated in the hospital from January to March 2010 were selected as the research objects and ac- cording to the operation way,they were divided into the four groups,the group A （n=85） was given the vaginal hysterec- tomy combined with colporrhaphia anterior-posterior,the group B （n=21） was the total pelvic floor reconstruction （re- moving uterus）,the group C （n=14） was given the total pelvic floor reconstruction （preserving uterus）,the group D （n=17） was given the vaginal closure operation.The operation time,bleeding amount during operation,hospitalization time in the four groups were recorded and the measured value of point indication for POP-Q indexing and pelvic floor muscle in the group A,B and C were observed. Results The operation time,hospitalization time in the group A [ （120.43±36.95） rain, （11.05±3.91） d respectively] were significantly shorter than those in the group B,C,D,bleeding amount during operation in the group A [（40.02±35.27） ml] was fewer than that in the group B,C,D （P〈0.05）.Bp in the group A [（-4.13±0.73） cm] was higher than that in the group B,C.C of the group A [（-5.05±2.4） cm] was lower than that in the group B,C （P〈0.05）. The Patients were followed-up for12-18 months,there was no statistical difference of pelvic floor muscle in the group A,B,C （P〉0.05）. Conclusion 4 kinds of operation can be applied the treatment of pelvic organ prolapse,and the suitable op- eration way is selected according to patient＇s laboratory examination,POP-Q indexing,intention during the treatment period.
出处
《中国当代医药》
2015年第8期76-78,共3页
China Modern Medicine
基金
广东省中山市科技计划项目(20122A064)
