盆底悬吊术与传统经阴道子宫切除术在治疗盆底功能障碍性疾病中的疗效研究

目的探讨盆底悬吊术与传统经阴道子宫切除术在治疗盆底功能障碍性疾病中的疗效。方法选择2010年1月～2012年1月于笔者所在医院被确诊为盆底功能障碍性疾病的患者96例，随机分为观察组48例行盆底悬吊术治疗，对照组48例行传统经阴道子宫切除术治疗，对治疗效果进行比较。结果观察组患者手术时间、术中出血量、术后肛门排气时间及总住院时间均明显短于对照组；两组患者术后2个月治愈率均为100％，6个月后观察组患者复发率为2．1％，对照组为8．3％，差异无统计学意义；术后2、6个月，观察组PFRI评分明显低于对照组：观察组并发症发生率明显低于对照组。结论盆底悬吊术治疗盆底功能障碍性疾病效果好，操作简单，创伤小，患者术后恢复快，并发症少，保留了患者的子宫，明显改善了患者术后的生活质量。

Efficacy of total pelvic floor reconstruction and trans-vaginal hysterecto- my in the treatment of pelvic floor dysfunction

Objective To investigate the efficacy of total pelvic floor reconstruction and trans-vaginal hysterectomy in the treatment of pelvic floor dysfunction. Methods A total of 96 cases of pelvic floor dysfunction were collected from January 2010 to January 2012 in the author＇s hospital.They were randomly divided into the observation group （48 cas- es） treated by total pelvic floor reconstruction , control group （48 cases） treated by trans-vaginal hysterectomy,and comparison of therapeutic effects. Results The operation time, bleeding volume, postoperative anal exhaust time and total duration of hospitalization in the observation group was significantly shorter or less than those in control group. After two months, the cure rate was 100% both in the groups two.The recurrence rate of the observation group was 2.1% after 6 months,the control group was 8.3%,there was no difference in meaning. PFRI of observation group were significantly lower than that in control group when After two and six months later. The complication rate in observation group, was significantly lower than the control group. Conclusion Total pelvic floor reconstruction for the treatment of pelvic floor dysfunction with less trauma, faster postoperative recovery, less complications, patients were retained in the uterus, can significantly improve the patients quality of life.