改良盆底重建术治疗盆腔脏器脱垂的临床研究

目的 探讨改良盆底重建术治疗盆腔脏器脱垂的临床疔效.方法 将80例盆腔脏器脱垂患者随机分入对照组与观察组.给予对照组患者传统盆底重建术治疗,观察组患者改良盆底重建术.结果 两组患者手术时间、术中出血及术后置管时间差异无显著性(P＞ 0.05);观察组与对照组术后1年复发率分别为5.0％和22.5％ (P=0.023);观察组术后POP-Q分度显著优于对照组(P＜0.05);观察组并发症显著低于对照组(7.5％vs 27.5％,P=0.019).结论 与传统盆底重建术相比,改良盆底重建本可加强盆底组织,减少复发率.

Clinical research on modified pelvic reconstructive surgery for pelvic organ prolapse

Objective To explore the clinical effect of modified pelvic reconstructive surgery for pelvic organ prolapse. Methods 80 cases with pelvic organ prolapse were randomly divided into control group and observation group. Control group was given traditional pelvic reconstructive surgery and observation group received modified pelvic reconstruc- tive surgery.Results There was no significant difference of operation duration, blood loss during operation and the indwelling catheter time found in two groups （P〉O.05）; relapse rate 1 year after operation were 5.0% and 22.5% respectively in observation group and control group （P= 0.023）; POP-Q graduation after operation in observation group was superior tocontrols （P〈O.05）; the occurrence of complication in observation group was much lower than that in control group （7.5% vs 27.5%, P = 0.019）. Conclusion Compared with traditional surgery, modified pelvic reconstructive operation can greatly strengthen pelvic tissue and decrease relapse rate.