改良盆底重建术对盆底功能恢复21例疗效观察

    Therapeutic effects of modified pelvic floor reconstruction on the pelvic function recovery

    • 摘要: 目的: 观察改良盆底重建术治疗重度盆腔脏器脱垂(POP)的疗效。方法: 以盆腔器官脱垂定量评分为疗效的客观评价指标,对21例盆腔器官中重度脱垂患者行改良盆底重建术,并分析围术期及术后12个月各项治疗评价指标及并发症的发生情况。结果: 术中无严重并发症发生;手术有效率100%;3例患者术后7个月发生网片侵蚀,1例发生术后排尿困难,术后复发率为20%。结论: 改良盆底重建术是治疗POP的一种安全、有效的手术方法,但应重视其对术后性生活的影响,短期效果满意,远期疗效有待进一步观察。

       

      Abstract: Objective: To evaluate clinical effects of modified pevic floor reconstruction on severe pelvic viscera prolapse.Methods: Twenty-one palients with severe pelvic prolapse were treated with modified pelvic floor reconstruction surgery.Treatment evaluation parameters of peroperation and complications 12 months after surgery were analyzed according to the POP-Qstandard.Results: The success rate of operation was 100%, and no any complications.Three cases with mesh erosion 7 months after surgery and 1 case with postoperative urination difficulties were found,and the rate of postoperative morbidity was 20%.Conclusions: Modified pelvic reconstruction is a safe, efficient and micro-invasive for treating severe pelvic prolapse.However, its effects on postoperative sexual life should be concerned.The mehod has good short-term effects,but the long-term effects need further study.

       

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