盆底重建手术28例分析

目的：评价盆底重建术治疗女性盆腔脏器脱垂的疗效及可行性。方法：对28例盆腔器官脱垂患者进行全盆底重建术，合并有压力性尿失禁的患者同时行尿道中段无张力悬吊术，分析手术效果及并发症情况。结果：手术平均时间109min，平均出血量156ml，平均住院时间9.3天，术后平均随访1.2年，患者子宫脱垂、阴道前后壁膨出等症状得到纠正，不适症状消失。术后有1例盆腔器官脱垂患者出现阴道前壁Ⅰ度膨出。结论：全盆底悬吊术安全可行，可完成全盆底结构及功能的重建，短期效果良好，值得临床推广。

Analysis of Pelvic Floor Reconstruction Operation in 28 Cases

【Abstract】 Objective: To analyze the effect and safety of pelvic floor reconstruction operation with pelvic organ prolapse. Methods: 28 cases with pelvic organ prolapse were operated with pelvic floor reconstruction operation, those who with stress urinary incontinence were operated with tension free vaginal tape. Analyze the effects and complications of the operation．Results: The average operation time was 109min，and the average hemorrhage was 156ml. The average hospitalization was 9.3 days. The average period of follow-up after operation was 1.2 years．The cases with pelvic organ and anterior or posterior vaginal wall prolapse cured basically, the complication were disappeared or improved obviously. After operation anterior vaginal wall I stage prolapse were occurred in one cases. Conclusion: The Pelvic Floor Reconstruction Operation is safe and feasible, which can improve the structures and functions of pelvic floor, and the short-time effect is well, so it is worth promoting in clinic.