传统术式与经阴道网片盆底重建术治疗老年重度盆底器官脱垂的疗效比较

发布时间：2018-02-01 07:14

本文关键词： 传统术式经阴道网片盆底重建术重度盆底器官脱垂　出处：《中国老年学杂志》2015年18期 　论文类型：期刊论文

【摘要】：目的分析对比传统术式与经阴道网片盆底重建术治疗老年重度盆底器官脱垂(POP)的临床疗效。方法选择2012年1月至2014年1月该院收治的重度POP患者70例,根据双盲法将其平均分为置入网片组与传统术式组,每组各35例。置入网片组患者采用经阴道网片盆底重建术治疗,传统术式组采用传统术式治疗。观察对比两组手术时间、出血量、尿管留置时间、医疗费用及住院时间。应用盆底障碍问卷(PFDI-20)及盆底功能影响问卷(PFIQ-7)评价疗效,对比两组治愈、复发及术后并发症情况。结果 1两组手术时间、出血量、尿管留置时间及住院时间对比无明显差异(P0.05)。置入网片组医疗费用明显高于传统术式组(P0.05)。2两组术后6个月时PFDI-20、PFIQ-7评分均低于术前(P0.05),置入网片组术后6个月时PFDI-20、PFIQ-7评分显著低于传统术式组(P0.05)。3置入网片组治愈率为100.00%、复发率为0.00%,传统术式组为85.71%、14.29%,两组治愈率及复发率对比差异具有统计学意义(P0.05)。4传统术式组无明显并发症出现,置入网片组出现2例阴道网片暴露。结论经阴道网片盆底重建术能够有效改善老年重度POP患者的临床症状和盆底功能,具有治愈率高,术后患者复发率低、生活质量较好等特点,值得临床推广。
[Abstract]:Objective to analyze the treatment of severe pelvic floor prolapse (POP) in elderly patients with pelvic floor reconstruction by transvaginal mesh compared with traditional operation. Methods from January 2012 to January 2014, 70 patients with severe POP were selected. According to the double blind method, the patients in each group were divided into two groups: netting group (35 cases) and traditional operation group (35 cases). The patients in the netting group were treated with transvaginal mesh reconstruction of pelvic floor. The traditional operation group was treated with the traditional operation method. The operation time, blood loss and urinary catheter retention time were observed and compared between the two groups. The curative effect was evaluated by PFDI-20 and PFIQ-7). The curative effect was compared between the two groups. Results 1 the time of operation and the amount of blood loss in the two groups. There was no significant difference in indwelling time and hospitalization time between the two groups (P 0.05). The medical cost in the mesh placement group was significantly higher than that in the traditional operation group at 6 months after operation. The PFIQ-7 score was lower than that before operation (P 0.05). The PFDI-20 in the netting group was 6 months after operation. The PFIQ-7 score was significantly lower than that in the traditional operation group (P 0.05). The cure rate and recurrence rate were 10 0. 00 and 0. 00g respectively in the traditional operation group and 85.71% in the traditional operation group. The difference of cure rate and recurrence rate between the two groups was statistically significant (P 0.05). 4 there were no obvious complications in the traditional operation group. Conclusion Transvaginal reconstruction of pelvic floor can effectively improve the clinical symptoms and pelvic floor function of elderly patients with severe POP, and has a high cure rate and a low recurrence rate. Better quality of life and other characteristics, worthy of clinical promotion.
【作者单位】：盐城市第一人民医院妇产科;
【分类号】：R713
【正文快照】： 盆底器官脱垂又称为盆腔脏器脱垂(POP),主要表现为外阴部块物脱出,部分伴有排便异常、排尿异常、炎症、外阴部出血等〔1〕。POP可发生于任何年龄段,但以60岁以上老年人多发,严重影响了女性的健康及生活质量〔2〕。目前,针对无明显临床症状的POP女性不主张采取手术治疗,而对于

【参考文献】