经阴道网片植入手术治疗盆腔器官脱垂的临床分析

目的 评价经阴道网片植入手术治疗盆腔器官脱垂的疗效及并发症.方法 2007年2月-2009年1月在北京大学第三医院因盆腔器官脱垂Ⅲ～Ⅳ度[据盆腔器官脱垂定量(POP-Q)分度法]采用经阴道网片植入手术的住院患者共66例,术后随访观察疗效指标,以主观症状和POP-Q测量评价主观和客观治愈率、复发率,以盆底不适调查表短表20(PFDI-20)评价手术前后患者的生命质量情况,并对并发症进行总结分析.结果 66例患者中成功放置网片65例;术后随访率为97%(63/65),随访时间为17.2个月(12～25个月).术后6个月、12个月时的主观、客观治愈率均为97%(61/63).51例完成生命质量评价,PFDI-20评分术前、术后6个月、12个月分别为(102±50)、(16±21)和(15±20)分,手术前后比较,差异均有统计学意义(P＜0.05).术中脏器损伤2例;术后复发2例,发生网片相关并发症4例,新发重度尿失禁1例.6例患者接受了二次手术,二次手术后症状缓解或治愈并无复发.结论 经阴道网片植入手术治疗盆腔器官脱垂疗效好,术中并发症发生率低,网片相关并发症经二次手术处理后效果较好.

Abstract：

Objective To evaluate clinical outcome and complications of mesh-augmented vaginal reconstructive surgery in treatment of pelvic organ prolapse. Methods From Feb 2007 to Jan 2009, meshaugmented vaginal reconstructive surgery were performed on 66 women with pelvic organ prolapse stage Ⅲ-Ⅳ. Pre and postoperative symptoms, pelvic organ prolapse quantitation (POP-Q) stage and pelvic floor distress inventory-short form 20 (PFDI-20) measurements were studied to assess anatomic and quality-of-life outcome. Operative complications were also analyzed. Results Totally 65 patients underwent successful surgeries. The rate of follow-up was 97% (63/65) with a median follow-up of 17. 2 months. Subjective cure rate and objective cure rate were both 97% (61/63) at 6 and 12 months after surgeries, 51 women completed PFDI-20 measurements and scores were 102 ± 50 before surgery, 16 ± 21 at 6 months and 15 ± 20 at 12 months. It reached statistical difference when scores were compared before and after surgeries ( P ＜0. 05). Among 66 patients, 2 patients underwent organ injuries, 2 had recurrent prolapse, 4 had meshrelated complications and 1 had severe de novo stress urinary incontinence. Six patients underwent second surgery. Conclusions Mesh-augmented vaginal reconstructive surgery in treatment of pelvic organ prolapsed brought satisfied clinical outcome. The incidence of mesh-related complications was low and secondary operative interventions were effective.     

改良全盆底重建术治疗重度盆腔器官脱垂的近期疗效

目的 评价改良全盆底重建术治疗重度盆腔器官脱垂的近期疗效.方法 对39例经盆腔器官脱垂定量(POP-Q)分度法诊断为重度子宫脱垂(包括穹隆脱垂)的患者行改良全盆底重建术,并分析围手术期及术后12个月各项治疗评价指标的变化及并发症发生情况.结果 中位手术时间为70 min(30～240 min),中位术中出血量100 ml(10～200 ml);77%(30/39)的患者手术次日晨即拔除尿管,且残余尿量<100 ml;无术中严重并发症发生;术后病率为20%(8/39);术后中位住院时间为4 d(1～11d).中位随访时间24个月(13～29个月).以POP-Q评分为疗效的客观评价指标,手术有效率达100%;5%(2/39)的患者于术后24个月内出现症状性复发(阴道后壁膨出):8%(3/39)的患者术后7个月内发生阴道侧壁或后壁网片侵蚀;5%(2/39)的患者出现新发的急迫性尿失禁;另有8%(3/39)的患者出现新发的便秘;发生率最高的并发症为性交困难(36%,5/14),但有50%(7/14)的患者术后性生活改善.结论 改良全盆底重建术是治疗重度盆腔器官脱垂的一种安全、有效的手术方式,但其对术后性生活的影响应受到重视.     

阴道封闭术治疗老年性重度盆腔器官脱垂的临床疗效

目的 探讨阴道封闭术治疗老年性重度盆腔器官脱垂(POP)的临床主、客观疗效.方法 2005年10月至2010年2月,采用阴道全封闭术及阴道部分封闭术(LeFort术)治疗老年性重度POP患者63例,患者采用POP定量分度(POP-Q)法分期均为Ⅲ～Ⅳ期,平均年龄(75±6)岁(59～87岁),其中58例(92%)伴有1种以上的内科合并症.63例患者中,子宫脱垂53例,宫颈脱垂1例,阴道穹隆脱垂9例;既往POP修补术后复发7例;合并排尿困难23例(36%),排便困难11例(17%),大便失禁3例(5%);尿失禁及脱垂前有尿失禁史28例(44%).63例患者中,48例(76%)行阴道全封闭术,15例(24%)行阴道部分封闭术;58例(92%)同时行肛提肌+会阴体修补术,20例(32%)同时行抗尿失禁术.分别于术后2个月及1年进行随访,观察手术效果,测量POP-Q分期及阴道、阴裂及会阴体长度,并采用非正式的自身形象和满意度问卷评价手术的主观效果.结果 63例患者的平均手术时间为(105±48)min,其中阴道全封闭术及阴道部分封闭术分别为(128±58)和(82±26)min,两者比较,差异有统计学意义(P<0.05);平均术中出血量为(187±128)ml(50～600 ml),其中阴道全封闭术及阴道部分封闭术分别为(232±159)和(101±54)ml,两者比较,差异也有统计学意义(P<0.05).无手术副损伤及死亡者,术后并发症的发生率为5%(3/63).63例患者术后POP-Q分期均≤Ⅰ期,无一例复发.患者术后1年时的平均阴道长度、阴裂长度分别为(3.4±1.1)、(2,3±0.5)cm,均明显小于术前[分别为(7.7±1.1)、(5.5±1.5)cm,P<0.01];会阴体长度为(3.5±0.9)cm,明显大于术前[(2.6±0.9)cm,P<0.01].63例患者中,3例(5%)术后发生轻度尿失禁.术前23例有排尿困难者平均残余尿量为(110±38)ml(50～235 ml),术后拔除尿管后减至12 ml.11例术前有排便困难者,术后6例(54%)好转;3例有大便失禁者,术后2例(2/3)好转.术后1年时,共52例(82%)患者完成了自身形象和满意度问卷,其中对手术很满意及满意者49例(94%),不满意及很不满意者3例(6%).结论 阴道封闭术治疗老年性重度POP的并发症发生率、复发率较低,主、客观成功率较高,对于老年体弱、无阴道性交要求者是一种安全、能缓解排尿及排便困难、疗效持久和满意度高的良好术式.     

改良盆底重建术治疗盆腔器官脱垂的临床研究

目的:探讨改良盆底重建术治疗盆腔器官脱垂(POP)的临床实用性。方法:选取59例POP患者,其中19例采用改良盆底重建术(A组),20例采用阴式子宫全切除术+阴道前壁"斜拉桥"式修补术(B组);20例采用传统阴式子宫全切除术+阴道前壁修补术(C组)。比较3组患者的围手术期各项指标情况及术后复发、阴道深度、性生活保持情况及疼痛不适等并发症情况。结果:(1)3组患者的手术时间、术中出血量、术后病率、术后性生活保持率及术后随访主观复发率比较差异均无统计学意义(P0.05);3组的术后留置尿管时间及客观复发率两两比较差异均有统计学意义(P0.05),A组的留置尿管时间最短,C组的客观复发率较高。C组术后的平均阴道深度浅于A、B组,差异有统计学意义(P=0.000);但后两组比较差异无统计学意义。3组患者均无严重并发症发生。结论:3种术式均能短期内解决POP问题,改良盆底重建术术式简单易操作,可保持盆底结构及功能的完整性,短期内具有较好的疗效,但远期疗效尚待循证。     

盆腔器官脱垂手术复发的预防与治疗

盆腔器官脱垂（POP）术后的高复发率迫切需要解决。术前对POP程度、部位及患者困扰症状的评价,改善高危因素,正确术式的选择是减少复发的预防措施。保守和手术是复发后的治疗方法,前者可缓解症状和延缓复发POP的进展,后者可解决及纠正复发。POP复发手术困难,应针对复发特点进行个体化设计,必要时需网片加固,并由受过亚专科训练并有丰富临床经验和手术效果好的医生实施。     

盆腔器官脱垂手术对下尿路症状影响的前瞻性研究

目的 探讨盆腔器官脱垂患者盆底修复手术后下尿路症状的变化情况,以及术中加行经闭孔尿道中段无张力悬吊带术(TVT-O)对漏尿及下尿路症状的影响.方法 2007年1月至2009年12月期间,共193例盆腔器官脱垂患者在北京大学第一医院行盆底修复手术(其中131例加行TVT-O)且术后随访达3个月以上,前瞻性研究患者手术后的下尿路症状变化情况及术后尿失禁症状的影响因素.结果 (1)193例患者中有下尿路症状者术前为85.5%(165/193),术后为54.4%(105/193),术后下尿路症状总体发生率低于术前,手术前后比较,差异有统计学意义(P＜0.01).(2)手术前后下尿路症状及相关症状发生率,尿频分别为57.0%、25.9%,尿急分别为51.8%、28.0%,咳嗽漏尿分别为50.3%、15.0%,点滴漏尿分别为44.6%、14.5%,排尿困难分别为34.7%、23.3%,排尿不尽分别为49.2%、19.7%,手助排尿分别为31.1%、2.6%,术后各症状的发生率均明显低于术前,分别比较,差异均有统计学意义(P＜0.05).(3)对于术前有漏尿症状的患者,盆底修复手术的同时未行TVT-O是术后漏尿症状不改善的高危因素(OR=4.933,95%CI为1.353～17.990,P=0.016).结论 盆底修复手术对盆腔器官脱垂患者的下尿路症状有改善作用.对于术前有漏尿症状的患者,加用TVT-O手术比单纯盆底修复手术能更有效地治疗其漏尿症状.

Abstract：

Objective To investigate effect of urinary conditions and lower urinary tract symptoms (LUTS) in patients before and after the reconstructive pelvic surgery (RPS) for pelvic organ prolapse (POP) as well as effect of urinary conditions and LUTS by tension-free vaginal tape-obturator (TVT-O).Methods From Jan. 2007 to Dec. 2009, 213 patients with POP underwent RPS, the factors on preoperative, postoperative urinary conditions and qualities of life and postoperative urinary incontinence were studied prospectively. Results Totally 193 patients who was followed up for more than 3 months after surgery attend questionnaires, and 165 preoperative patients of 193 (85.5%) had LUTS, 105 postoperative patients of 193 (54.4%) had LUTS, which reached statistical difference (P ＜0. 01 ). The rate of LUTS before and after operation: urinary frequency ( 57.0% and 25.9% ), urinary urgency ( 51.8% and 28.0% ), urinary leakage due to cough ( 50. 3% and 15.0% ), dropping urinary leakage ( 44. 6% and 14. 5% ), dysuria (34. 7% and 23.3% ), vesicaltenesmus (49.2% and 19. 7% ) and hand assist urination (31.1% and 2.6% ). The incidence of LUTS after surgery is much lower than that of pre-operation ( P ＜0. 05 ). POP patients with stress urinary incontinence ( SUI ) before the operation, surgery without TVT-O simultaneously are the risk factors of unimproved symptom ( OR = 4. 933, 95% CI: 1. 353 - 17. 990, P=0. 016). Conclusions RPS have alleviated LUTS in patients with POP. RPS with TVT-O are more effective than traditional RPS in treatment of the urinary incontinence if the POP patient with SUI or occult SUI.     

阴道封闭术对重度盆腔器官脱垂患者体像的影响

目的 探讨阴道封闭术对重度盆腔器官脱垂(POP)患者体像的影响.方法 解放军总医院第一附属医院于2005年10月至2010年2月期间,对60例实施阴道封闭术的POP定量分度法为Ⅲ～Ⅳ度的POP患者分别于术前及术后1年时进行体像评估.结果 术后1年时共有52例患者完成体像评估,随访率为87%(52/60).患者在术前及术后1年时对"阴道脱垂让你感觉缺少吸引力吗?"、"阴道脱垂让你感觉缺少女性魅力吗?"、"过去是否难以接受自己裸体?"、"阴道脱垂让你感觉缺少性吸引力吗?"以及"曾经对你的身体感到不满意吗?"5个问题的回答为"一点也不"的比例分别为25%和96%(P＜0.01)、21%和96%(P＜0.01)、37%和67%(P=0.018)、29%和96%(P＜0.01)、12%和83%(P＜0.01),患者在阴道封闭术后对自身体像的认知明显提高.结论 实施阴道封闭术的重度POP患者不会因为丧失阴道功能而降低对自身体像的认知.

Abstract：

Objective To investigate the impact of colpocleisis on body image in women with severe pelvic organ prolapse (POP). Methods From Oct. 2005 to Feb. 2010,60 POP patients with stage Ⅲ and Ⅳ by POP quantitation system underwent total or partial colpocleisis. Patients received body image evaluation before and 1 year after operation. Results One year after operation, 52 (87% , 52/60) patients completed body image evaluation. Before and 1 year after operation, the ratio of answer "Not at all" of questions such as "Have you felt less physically attractive as a result of your vaginal prolapse?" , "Have you been feeling less feminine as a result of your vaginal prolapse?" , "Did you find it difficult to look at yourself naked?" , "Have you been feeling less sexually attractive as a result of your vaginal prolapse?", "Have you felt dissatisfied with your body?" were 25% and 96% ( P ＜ 0. 01 ) , 21% and 96% ( P ＜ 0. 01) , 37% and 67% (P = 0.018), 29% and 96% (P＜0.01), 12% and 83% (P＜0.01), respectively, indicating significant improvement on body image after operation for patients treated by colpocleisis. Conclusion Women underwent colpocleisis for severe POP could not decrease their body image as a result of the disability of vaginal intercourse.     

猪小肠黏膜下层生物补片在盆腔器官脱垂手术治疗中应用的初步观察

目的 探讨应用猪小肠黏膜下层生物补片治疗盆腔器官脱垂(POP)的临床效果.方法 回顾性分析2012年3月至2013年3月在北京大学人民医院应用猪小肠黏膜下层生物补片行全盆底重建术治疗的15例POP定量(POP-Q)分度法Ⅲ度患者的临床资料,15例患者平均年龄59(39 ～82)岁.比较手术前、后POP-Q各指示点位置及生命质量相关问卷[盆底疾病生命质量影响问卷简表(PFIQ-7)、盆底功能障碍性疾病症状问卷简表(PFDI-20)及性生活质量问卷(PISQ-31)]分数,评估患者主观满意率、复发率及生命质量改善情况.结果 15例患者平均随访时间9.9(3 ～15)个月;平均手术时间96(65 ～ 120) min;平均术中出血量159(50～500) ml.术后未发现切口感染、补片侵蚀及暴露.患者主观满意率为14/15,脱垂复发率为2/15.患者PFDI-20评分由术前平均87(56 ～ 124)分降至术后30(22～48)分,PFIQ-7评分由术前平均129(85 ～ 158)分降至术后24(18～48)分,PISQ-31评分由术前平均48(32 ～55)分升高至术后79(66 ～89)分,手术前、后分别比较,差异均有统计学意义(P＜0.05),9例患者术后恢复性生活.结论 应用猪小肠黏膜下层生物补片行全盆底重建术治疗重度POP近期随访疗效满意,手术后生命质量及性生活质量提高明显,并发症少,但远期效果尚待随访观察.     

子宫内膜异位症手术治疗后复发相关因素的分析

目的探讨子宫内膜异位症(内异症)术后复发的相关因素。方法对356例内异症手术治疗患者随访3年,将其中复发的75例患者的临床资料进行回顾性分析,对可能引起复发的相关因素(年龄、临床病理类型、分期、手术方式、术后是否加用米非司酮)进行分析。结果年龄≤24岁患者的复发率为0,与其余4个年龄段(25~29、30~34、35~39、≥40岁,复发率分别为19·8%、19·8%、31·9%和21·6%)比较,差异有统计学意义(χ2=11·212,P<0·05);年龄与复发率有相关关系(P<0·05)。在临床病理类型中,混合型、深部结节型患者的复发率分别为29·2%、33·3%,前者明显高于卵巢型的17·5%(χ2=4·622,P=0·032);复发率与临床病理类型有相关关系(P<0·05)。复发率随着内异症分期的增高而增加(P<0·05);Ⅰ~Ⅱ、Ⅲ、Ⅳ期患者的复发率分别为12·9%、22·5%、55·6%,Ⅰ~Ⅱ期与Ⅲ、Ⅳ期患者的复发率分别比较,差异均有统计学意义(χ2=5·129,χ2=33·899,P均(0·05)。Ⅲ期内异症患者腹腔镜手术与开腹手术的术后复发率分别为31·3%、11·3%,两者比较,差异有统计学意义(χ2=7·971,P=0·005)。加用米非司酮患者的复发间隔时间为(13±4)个月,未用药患者的复发间隔时间为(7±3)个月,两者比较,差异有统计学意义(t=4·575,P<0·01)。结论内异症的治疗应根据患者年龄、临床病理类型、分期选用创伤小并能较彻底清除病灶的个体化治疗方案。术后短期应用抑制卵巢功能的药物可延长复发间隔时间。     

"协和"全盆底重建术治疗重度盆腔器官脱垂的多中心前瞻性研究

目的 探讨"协和"全盆底重建术治疗重度盆腔器官脱垂(POP)的疗效及对患者生命质量和性生活质量的影响.方法 自2006年6月至2008年12月,在全国8家医疗单位开展多中心前瞻性研究,包括北京协和医院、复旦大学附属妇产科医院、北京大学第一医院、北京大学第三医院、第三军医大学西南医院、四川大学华西第二医院、北京大学人民医院、北京妇产医院,共277例POP患者参加本研究,所有患者术前均为Ⅲ度或Ⅳ度.总结研究的中期结果,通过术后随访患者的POP分度情况了解POP的解剖学改善情况.通过比较患者术前、术后盆底功能影响问卷简表(PFIQ-7)和盆底不适调查表简表(PFDI-20)评分,评估手术对患者生命质量的影响;通过比较术前、术后POP-尿失禁性生活问卷(PISQ)评分,评价手术对患者性生活质量的影响.结果 中位随访时间14个月(6～28个月),23例患者术后复发,复发率为8.3%(23/277).19例(6.9%,19/277)患者在随访中发现网片暴露或侵蚀.术后新发的尿失禁为18例(6.5%,18/277).277例患者术前、术后6个月、术后1年的PFIQ-7评分分别为(66.9±65.1)、(7.2±26.7)、(7.6±31.6)分,PFDI-20评分分别为(75.8±49.0)、(17.4±25.2)、(15.0±22.6)分,术后较术前生命质量评分显著降低,差异均有统计学意义(P＜0.01).术前、术后6个月、术后1年的PSIQ评分分别为(76.6±15.4)、(75.5±14.5)、(73.6±12.6)分,术前与术后比较,差异无统计学意义(P＞0.05),手术对性生活质量无明显影响;但术后9例(11%,9/80)患者新发性交痛.结论 "协和"全盆底重建术是治疗重度POP一种有效、安全的手术,可以明显改善患者的生命质量,与传统的全盆底重建术疗效相当.

Abstract：

Objective To evaluate clinical efficiency and quality-of-life outcomes in treatment of severe pelvic organ prolapse by the "Xiehe" pelvic floor reconstruction surgery. Methods From Jun. 2006 to Dec. 2008, 277 severe pelvic organ prolapse patients with stage Ⅲ to Ⅳ from 8 hospitals in China were enrolled in this prospective study. Pelvic organ prolapse quantitative examination (POP-Q) and anatomic improvement in these patients after surgery were analyzed in this interim study. Comparisons of pelvic floor impact questionnaire-short form 7 (PFIQ-7) and pelvic floor distress inventory-short form 20 (PFDI-20) in these patients before and after surgery was used to evaluate quality of life. Comparison of pelvic organ prolapse-urinary incontinence sexual questionnaire (PISQ) in these patients before and after surgery was used to evaluate quality of sexual life. Results With a median follow-up of 14. 0 months (6 -28 months),twenty-three patients showed recurrent prolapse (8. 3%, 23/277), and anatomical success ( ＜ stage 2 in the treated compartment) was 91.7% (254/277). In this series, mesh exposure or erosion rate was 6. 9% (19/277). The postoperative de novo stress incontinence rate was 6. 5% (18/277). The scores for PFIQ-7 and PFDI-20, and its subscales were significantly improved, the scores of before treatment were lower than those after treatment (P ＜0. 01 ). And there was no significant difference in the average score of PISQ before and after the surgery (76. 6 ± 15.4 versus 75.5 ± 14. 5 versus 73.6 ± 12. 6, P ＞0. 05 ), but the rate of de novo dyspareunia was 11% (9/80). Conclusions "Xiehe" pelvic floor reconstruction surgery was safe and efficacy in treatment of pelvic organ prolapse. It could improve quality of life remarkably with less cost when compared with the traditional total pelvic floor reconstruction surgery.     

经阴道行阴道旁修补术在阴道前壁及膀胱膨出治疗中的应用

目的 探讨经阴道途径行阴道旁修补(VPVR)手术治疗中、重度阴道前壁及膀胱膨出的有效性和安全性。方法采用VPVR手术,治疗25例有临床症状、经盆腔器官脱垂定量(POP-Q)分度法和Baden-Walker盆腔器官脱垂的阴道半程系统分度法,确定为阴道前壁及膀胱膨出的患,其中,POP-Q分度法为Ⅲ～Ⅳ度占92％。VPVR手术主要包括经阴道于耻骨降支下进入耻骨后间隙,暴露盆腔筋膜腱弓(ATFP),用不可吸收线将盆腔内筋膜、盆腔筋膜腱弓及膀胱筋膜逐一缝合,关闭阴道旁缺陷等步骤。同时进行其他盆底修复手术共11种。术后定期随访,对手术效果进行主观(患自觉症状或感觉)及客观(临床检查)评价。结果25例行VPVR手术均获得成功。手术时间平均为40min,出血量平均为70ml;有2例术中耻骨后静脉丛出血,分别为100ml及200ml。无其他手术并发症,无术后病率。有2例术后发生排尿困难及尿潴留,1例于短期内痊愈,另1例为术后2个月现仍在治疗中。25例术后随访2～14个月,平均6个月,患无任何自觉症状,主观治愈率为100％。2、6个月随访时,各有1例临床检查发现为复发(POP-Q分度法为Ⅰ度),客观治愈率为92％。结论VPVR手术可以恢复耻骨宫颈筋膜附着在盆腔侧壁的解剖位置,对纠正中、重度阴道前壁及膀胱膨出,是安全、有效的。     

盆腔器官脱垂患者复位前后尿动力学变化特点

目的 探讨盆腔器官脱垂患者复位前后尿动力学变化的特点.方法 对2010年1至4月间北京大学人民医院妇科收治的30例盆腔器官脱垂(其中Ⅰ度1例、Ⅱ度6例、Ⅲ度21例、Ⅳ度2例)患者进行尿动力学检查,然后行圆盘形子宫托复位,复位后立即再次行尿动力学检查.结果 (1)复位前后症状:复位前膀胱出口梗阻者11例、残余尿量＞100...     

Risk factors of surgical failure following transvaginal mesh repair for the treatment of pelvic organ prolapse

Objective

To identify the factors associated with pelvic organ prolapse (POP) recurrence after transvaginal mesh (TVM) repair.

Study design

One hundred and thirteen women with symptomatic POP stage II to IV were scheduled for TVM procedures. All subjects underwent urinalyses and pelvic examination using the POP quantification (POP-Q) staging system before and after surgery.

Results

Seven (6.2%) of 113 women reported POP recurrence after a mean follow-up time of 30 months. We performed a univariate analysis of patients’ characteristics to identify the predictors of surgical failure after TVM. There was no difference between two groups as to body mass index, POP stage, mesh type, and preoperative urinary symptoms and urodynamic parameters (P > 0.05). However, we found that uterine prolapse (P = 0.016) and surgical experience (P = 0.043) were two significant predictors of surgical failure. Multivariate logistic regression showed similar results.

Conclusion

Advanced uterine prolapse and lack of surgical experience were two significant predictors of failure following TVM. POP recurrence after mesh repair appears to be unlikely beyond the learning curve.     

经阴道后路悬吊术在盆底重建中的应用

目的 探讨经阴道后路悬吊术(posterior IVS)在盆底重建中的有效性和安全性。方法采用前瞻性研究的方法,对11例阴道穹窿膨出和重度子宫脱垂的患者施以经阴道后路悬吊术。以术后阴道穹窿顶端或宫颈的最低点在坐骨棘水平以上为治愈标准。结果手术时间平均为55min,术中出血量平均为86ml,住院时间平均为5．6d。除2例患者有臀部小血肿外,未发生术后排便困难等严重并发症。根据本研究的治愈标准,11例患者均为治愈。结论经阴道后路悬吊术是一种并发症较少的微创盆底重建手术。