Avaulta盆底重建术治疗重度盆腔器官脱垂的疗效及对患者生活质量的影响
发布时间：2018-08-16 18:31
【摘要】：目的探讨Avaulta系统盆底重建术的临床疗效及对患者生活质量的影响。方法回顾性分析2012年7月至2013年5月因重度盆腔器官脱垂行Avaulta盆底重建术83例患者的临床资料,通过比较患者术前、术后POP-Q分期、盆底功能障碍影响问卷(PFDI-20),评价Avaulta系统盆底重建术的解剖疗效与功能疗效。结果 83例患者中,3例术后失访,80例纳入研究,其中11例患者有全子宫切除术史。56例患者行前后路Avaulta,17例行单纯前路Avaulta,7例行单纯后路Avaulta,42例保留子宫,27例同时行阴式子宫切除术,中位手术时间100 min(80~150 min),中位出血量150 m(l 100~280 m1)。术中膀胱、直肠损伤各1例,术后随访24~34个月,中位随访27个月,无Ⅱ度及以上脱垂。与术前PFDI-20评分比较,患者术后生活质量明显改善(P0.05)。结论 Avaulta盆底重建术治疗重度盆腔器官脱垂,微创,安全性好,并发症少,近中期效果良好,远期效果有待进一步观察。
[Abstract]:Objective to investigate the clinical effect of pelvic floor reconstruction with Avaulta system and its effect on patients' quality of life. Methods the clinical data of 83 patients undergoing Avaulta pelvic floor reconstruction due to severe pelvic organ prolapse from July 2012 to May 2013 were retrospectively analyzed. The preoperative and postoperative POP-Q stages were compared. Pelvic floor dysfunction questionnaire (PFDI-20) was used to evaluate the anatomical and functional effects of pelvic floor reconstruction with Avaulta system. Results among the 83 cases, 80 cases had lost visit after operation. Among them, 11 cases had total hysterectomy. 56 cases had history of total hysterectomy. 17 cases of anterior and posterior Avaulta-treated patients were treated with simple anterior approach Avaultata-7 cases with simple posterior Avaulta-conserved uterus in 27 cases, and 27 cases with vaginal hysterectomy at the same time. The median operative time was 100 min (80 m (l 150 min), median bleeding volume 150 m (l 100m 1). There were 1 case of bladder and 1 case of rectal injury during operation. The follow-up was 24 ~ 34 months, and the median follow-up was 27 months. There was no grade 鈪，
本文编号：2186822
[Abstract]:Objective to investigate the clinical effect of pelvic floor reconstruction with Avaulta system and its effect on patients' quality of life. Methods the clinical data of 83 patients undergoing Avaulta pelvic floor reconstruction due to severe pelvic organ prolapse from July 2012 to May 2013 were retrospectively analyzed. The preoperative and postoperative POP-Q stages were compared. Pelvic floor dysfunction questionnaire (PFDI-20) was used to evaluate the anatomical and functional effects of pelvic floor reconstruction with Avaulta system. Results among the 83 cases, 80 cases had lost visit after operation. Among them, 11 cases had total hysterectomy. 56 cases had history of total hysterectomy. 17 cases of anterior and posterior Avaulta-treated patients were treated with simple anterior approach Avaultata-7 cases with simple posterior Avaulta-conserved uterus in 27 cases, and 27 cases with vaginal hysterectomy at the same time. The median operative time was 100 min (80 m (l 150 min), median bleeding volume 150 m (l 100m 1). There were 1 case of bladder and 1 case of rectal injury during operation. The follow-up was 24 ~ 34 months, and the median follow-up was 27 months. There was no grade 鈪，
本文编号：2186822
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