改良式Prolift前盆重建术46例临床分析

目的:探讨改良式Prolift前盆重建术治疗女性盆腔脏器脱垂的可行性。方法:将97例盆腔器官脱垂的患者随机分为实验组46例与对照组42例,实验组行改良式Prolift前盆重建术,对照组行阴道壁修补及阴式子宫切除术。比较两组手术时间、术中出血量、术后住院时间、并发症,术后3个月及1年治愈率、POP-Q分度。结果:两组术后住院时间存在统计学差异(P<0.05),术后1年治愈率存在统计学差异(P<0.05),术后1年POP-Q分度差异有统计学意义(P<0.05)。结论:改良式prolift前盆重建术治疗盆腔脏器脱垂可以恢复骨盆底的功能,手术创伤小、术后住院时间较短,手术近期的疗效值得肯定。

Clinical analysis of 46 cases of improved prolift anterior pelvic reconstruction

Objective:To study the feasibility of improved prolift anterior pelvic reconstruction in the treatment of female pelvic organs prolapse.Methods:All 97 patients who had pelvic organ prolapse were randomly divided into experimental group(46 cases) and control group(42 cases).The improved prolift anterior pelvic reconstruction was improved in experimental group,vaginal wall repair and vaginal hysterectomy was improved in control group..Then operative time,blood loss,postoperative hospital stay,complications,cure rate of postoperative 3 months and 1 year,POP-Q indexing were compared between the two groupsResults:The postoperative hospital stay,the cure rate and POP-Q of postoperative 1 year were significant difference between the two groups(P<0.05)..Conclusion:Improved prolift anterior pelvic reconstruction can restore the pelvic floor function,surgical trauma,shorter hospital stay,its recently effect is affirmed.