手术治疗盆底功能障碍性疾病70例分析

目的:评价盆底功能障碍性疾病(pelvic floor dysfunction,PFD)两种手术方法治疗效果。方法:PFD 70例,25例行阴式子宫切除及阴道前后壁修补术(传统组),45例行保留子宫的盆底重建及经闭孔尿道中段无张力悬吊术(重建组),比较两组手术时间、术中出血、排气时间、保留尿管时间、术后病率及疗效等情况。结果:重建组手术时间、术中出血、排气时间、保留尿管时间、术后病率分别是(95.4±20.5)min、(133.2±17.7)ml、(24.5±6.5)min、(34.6±9.4)min及2.22%;传统组分别为(155.7±18.6)min、(305.2±44.7)ml、(46.6±5.8)min、(118.9±8.5)min及12.00%,两组差异均有统计学意义(P<0.01)。重建组及传统组总有效率分别为97.78%和76.00%,重建组明显优于传统组(P<0.01)。结论:保留子宫的盆底重建及经闭孔尿道中段无张力悬吊术治疗PFD手术时间短,出血少,疗效好,复发率低,技术易掌握,值得推广。

Surgical therapies for pelvic flour dysfunction:Report of 70 cases

Objective:To evaluate the efficacy of two procedures for management of pelvic flour dysfunction(PFD).Methods:Of the 70 cases of PFD,25 were performed vaginal hysterectomy plus colporrhaphia anterior-posterior(tradition group) and 45 pelvic flour reconstruction surgery plus transobturator suburethral tape ventrofixation(reconstruction group).The clinical parameters were observed and analyzed.Results:The operation time,blood loss,recovery time of postoperative gastrointestinal function,recovery time of urinat...