改良式网片盆底重建术治疗盆腔器宫脱垂

目的探讨改良式网片盆底重建术治疗盆腔器宫脱垂的临床疗效。方法对78例盆腔器宫脱垂患者，行阴式子宫切除加改良式网片盆底重建手术治疗（观察组），并与经阴子宫切除加阴道前后壁修补（对照组）治疗进行对比，观察两组手术时间、术中出血量、尿管留置时间、残余尿量、术后住院时间、术后复发率、术后性生活满意度。结果两组手术时间、术中出血量、尿管留置时间、残余尿量及术后住院时间比较均差异均无统计学意义（均P〉0．05）；阴道长度、术后复发、性生活满意度等指标均优于对照组（均P〈0．05）。结论改良式网片盆底重建术是治疗盆腔器宫脱垂的有效方法，该术式近期疗效较好，复发率低。

Improved mesh pelvic reconstruction in treatment of Female Pelvic organ prolapse

Objective To explore the modified mesh in female pelvic floor reconstruction for pelvic organ prolapse and clinical effects of the application.Methods 78 patients with pelvic organ prolapse,line modified mesh pelvic floor reconstruction surgery(study group)and vaginal hysterectomy and vaginal repair of anterior and posterior wall(control group)treatment,clinical efficacy was compared.Results The mean operating time,blood loss,average body temperature,catheter indwelling time,residual urine volume,and postoperative hospital stay showed no significant difference(P＞0.05).No postoperative infection,vaginal hematoma,mesh erosion occurred.Two groups of patients before discharge degree of POP-Q points are 0°or Ⅰ degree,to cure the standard.Vaginal length of the control group was significantly shorter than after treatment(P＜0.05),while no significant change in the observation group(P＞ 0.05).Control group,the recurrence rate was significantly higher than the observation group(P＜0.05),while the observation group of sexual satisfaction was better than the control group(P＜0.05).Conclusion The modified mesh treatment of female pelvic floor reconstruction is an effective method of pelvic organ prolapse,the surgical curative effect is better,the recurrence rate is lower,worthy of clinical application.