摘要
目的比较应用补片的盆底重建术与传统非补片重建术在盆底重建中的疗效差异。方法选取淮安市妇幼保健院2009年1月至2010年12月间患有盆底功能障碍的患者50例,其中20例应用Prolift网片行盆底重建术,另外30例应用传统阴式子宫切除及阴道前后壁修补术。分析比较两组术中及术后情况。结果 50例患者术中均无严重并发症发生,术后随访6～24个月,观察组术后仍有会阴及下腹坠胀1例、尿失禁2例、便秘1例,无网片侵蚀及感染。盆腔器官脱垂(POP)评分均达0度,客观治愈率的100%。对照组术后仍有会阴及下腹坠胀5例、尿失禁4例、便秘1例,术后症状同术前。POP-Q评分降低,客观治愈率的76.7%。结论用Prolift网片系统进行盆底重建术,手术安全、易行,近期疗效肯定。
Objective To compare the efficacy of prolift mesh placement with traditional.hysterectomy for pelvic floor reconstruction.Methods Fifty patients with pelvic floor dysfunction were selected in Huaian Maternal and Child health Care Hospital from January 2009 to December 2010.Prolift mesh placement and transvaginal hysterectomy and colporrhaphia anterior-posterior were performed in 20 and 30 patients respectively.The efficacy of the two pelvic floor reconstructive surgeries was evaluated.Results The patients were followed up for 6 to 24 months after surgery.No severe complication was found in all patients.After floor reconstructive surgery with prolift mesh,one patient had perineal and lower abdominal symptoms,.two had urinary incontinence,and one had constipation.No infection and erosion occurred.POP-Q index achieved 100.The recovery rate was 100%.After traditional pelvic floor reconstructive surgery,five patients had perineal and lower abdominal symptoms,four had urinary incontinence,and one had constipation.POP-Q index was decreased.The recovery rate was 76.7%.Conclusion The pelvic floor reconstructive surgery with prolift mesh was safe,convenient and can bring good short-term medical effects.
出处
《临床和实验医学杂志》
2011年第21期1666-1668,共3页
Journal of Clinical and Experimental Medicine
