改良盆底重建术治疗盆腔脏器脱垂的疗效评价

目的:评价改良盆底重建术治疗盆腔脏器脱垂的临床效果。方法:96例盆腔脏器脱垂定量(POP-Q)分度为Ⅲ～Ⅳ度患者行改良盆底重建术,观察手术时间、术中出血量、住院时间等围手术期指标,以POP-Q分度为客观疗效评价指标,以阴道无肿物脱出为主观治愈指标,术后定期随访,观察疗效。结果:手术时间平均(88.6±34.2)min、术中出血量平均(80.4±71.5)ml,术后住院天数平均(4.6±1.8)天,术后随访3～20个月,中位随访时间10个月,客观治愈率93.8%(90/96),主观治愈率95.8%(92/96)。结论:改良的盆底重建术是治疗盆腔脏器脱垂的有效术式,保留子宫同时加强盆底组织,手术简单、安全、微创,术后新发尿失禁及性交痛发生率较高,值得关注。

Evaluation of the effect of modified pelvic floor reconstruction on pelvic organ pro-lapse

Objective:To evaluate the the effect of modified pelvic floor reconstruction on pelvic organ prolapse.Methods:96 cases with Ⅲ～Ⅳ degree pelvic organ prolapse underwent modified pelvic floor reconstruction,operation time,blood loss in the operation and hospital time were observed,patients were assessed objectively (according to pelvic organ prolapse quantitation) and subjectively (no feeling a bulge in vaginal),then were followed up.Results:The mean operation time was (88.6±34.2) minutes,the mean blood loss was (80.4±71.5) ml,and the mean post-operative hospital time was (4.6±1.8) days,All patients were followed up for 3~20 months with a medium time of 10 months. Totally 93.8% (90/96) and 95.8% (92/96) of the cases were objectively and subjectively cured.Conclusion:Modified pelvic floor reconstruction is a simple,safe,effective and micro-invasive method for pelvic organ prolapse,which can reinforce the pelvic floor as well as uterine preservation,but the rates of post-operative incontinence and dyspareunia are still high.