摘要
目的通过对Prolift全盆底修补系统在老年女性盆腔器官脱垂治疗中的应用及近期疗效的评估,探讨治疗盆腔器官脱垂的手术方式。方法选取2009年1月至2010年12月间南京市妇幼保健院妇科收治的因盆腔器官脱垂行盆底修复重建手术的老年女性患者共43例。其中采用Prolift全盆底修补系统行全盆底重建手术24例(A组),传统的阴道前后壁修补手术19例(B组)。比较2组患者的一般资料、围手术期和随访情况,并进行统计学分析。结果 2组患者的年龄、体质量、孕产次、阴道壁脱垂程度差异无显著性(P>0.05)。2组患者的手术时间、术中出血量、尿管留置天数、术后残余尿和住院时间比较,差异无显著性(P>0.05)。2组术后随访率均为100%。A、B组术后复发各为0和3例,A组复发率明显低于B组(P<0.05);A组发生性生活不适者3例,略高于B组的1例,但无显著性差异(P>0.05);A组补片侵蚀2例(8.33%),2组均未发生直肠、输尿管等周围脏器及明显血管神经损伤。结论 Prolift用于阴道前后壁脱垂患者的全盆底重建手术,手术安全可行,近期疗效明显优于传统的阴道前后壁修补术。
Objective To evaluate the efficacy and safety of the whole pelvic floor repair system Prolift in elderly women with pelvic organ prolapse.Methods Forty-three elderly female patients were enrolled in this study,who received the surgery of pelvic floor repair and reconstruction due to pelvic organ prolapse from January,2009 to December,2010 in Nanjing Maternity and Child Health Care Hospital.Twenty-four cases of pelvic reconstructive surgery used whole pelvic floor repair system Prolift（group A）,and 19 cases used traditional repair surgery of anterior and posterior vaginal wall（group B）.The general information,perioperative and follow-up data were compared between two groups.Results There were no significant differences between two groups in age,body weight,maternal times,degree of the prolapse of vaginal wall before the operation（P〈0.05）.The duration of operation,blood loss during the operation,the days of indwelling catheter,residual urine after surgery,and duration of hospitalization were similar in two groups（P〈0.05）.During the follow-up period,there were 0 and 3 recurrence cases in group A and B respectively,indicating that the recurrence rate in group A was significantly lower than that in group B（P〈0.05）.There were 3 cases who felt uncomfortable sex life after the operation in group A,compared with 1 case in group B（P〈0.05）.Furthermore,there were 2 cases of patch erosion in group A（8.33%）.No injury of rectum,ureter and other surrounding organs or obvious vascular nerve was found in the two groups.Conclusions Prolift system can be used in pelvic floor reconstruction surgery in patients with anterior and posterior vaginal wall prolapse.Prolift system is safe,feasible and with better curative effects than traditional surgical technique.
出处
《实用老年医学》
CAS
2011年第6期470-472,476,共4页
Practical Geriatrics
