Prolift盆底重建术与传统手术盆底功能恢复的对比研究

目的比较Prolift盆底重建术与传统手术(阴式子宫全切加阴道前后壁修补手术)的临床疗效,比较术后盆底功能恢复情况。方法回顾性分析2010年12月—2012年1月北京大学人民医院34例行Prolift盆底重建术的重度盆腔器官脱垂(POP-QⅢ和Ⅵ度)患者(研究组),与同期19例传统手术的重度盆腔脏器脱垂患者(对照组)的临床资料,包括一般情况、围手术期情况、POP-Q指示点分值等,利用法国杉山公司的PHNIX USB 8盆底功能诊断治疗仪对2组患者盆底功能进行生物电生理评估。结果研究组手术时间、手术出血量明显少于对照组,但术后保留导尿时间、住院天数2组相比未见统计学差异(P>0.05)。2组自身POP-Q指示点术前、术后测量值变化有统计学意义(P<0.05);2组间术后各指示点数值相比较,仅TVL差异有统计学意义(P>0.05);2组患者盆底肌肌电位无统计学差异(P>0.05),研究组盆底肌力、肌张力明显高于对照组(P<0.05)。结论 Prolift盆底重建术纠正子宫脱垂解剖恢复率高,更好地恢复盆底肌肉功能,优于传统手术。

Comparative study of Prolift pelvic floor reconstruction surgery of the pelvic floor and traditional functional recovery

Objective To compare the Prolift pelvic floor reconstruction and traditional operation＇s（before and after vaginal total hysterectomy with vaginal wall repair operation） clinical efficacy,postoperative pelvic floor functional recovery.Methods Retrospective analyzed data from December,2010 to January,2012 in Peking University Peoples Hospital,34 cases Prolift total pelvic floor reconstruction of severe pelvic organ prolapse（POP-Q Ⅲ and Ⅵ degree） patients served as study group,and 19 patients with the same traditional operation of severe pelvic organ prolapsed patients as control group.Clinical data,including the general situation,operation case,POP-Q indicates the point score,used French Sugiyamas PHNIX USB 8pelvic floor function diagnosis and treatment instrument to biological electrophysiological assess two groups of patients＇ pelvic floor function.Results Study group＇s operative time,blood loss was significantly less than the control group,but the postoperative catheterization time,hospital stay compared with control group found no significant difference between the two groups（P 0.05）.Intragroup POP-Q preoperative indication point,the measured value after the change was statistically significant between pre and post operation（P 0.05）;compared the two groups＇ after each instruction point value,only TVL difference was statistically significant（P 0.05）;2 group＇s with pelvic floor muscle group found no significant difference in potential（P 0.05）,the study group pelvic floor muscle strength,muscle tone was significantly higher（P 0.05）.Conclusion The use of Prolift pelvic reconstructive surgery to correct prolapse of uterus operation,anatomical recovery rate is high,can belter recovery of pelvic floor muscle,superior to the traditional operation.