2种手术方式治疗盆腔脏器脱垂效果比较

发布时间：2018-11-24 07:38

【摘要】：目的探讨Prolift全盆悬吊术和经阴道子宫切除+阴道前后壁修补术2种手术方式治疗盆腔脏器脱垂的临床效果差异。方法 90例盆腔脏器脱垂患者,采用Prolift全盆悬吊术治疗30例为观察组,60例采用经阴道子宫切除+阴道前后壁修补术治疗者为对照组。比较2组手术时间、术中出血量、术后保留导尿时间、住院时间、术后阴道长度及疗效。结果观察组手术时间[(69.5±11.3)min]较对照组[(124.7±14.0)min]短,术中出血量[(58.7±18.0)mL]较对照组[(133.5±26.4)mL)]少,差异有统计学意义(P0.05);观察组术后保留导尿时间[(5.3±1.2)d]、住院时间[(8.2±1.7)d]与对照组[(5.7±1.5)、(8.5±2.0)d]比较差异无统计学意义(P0.05);术后观察组阴道长度[(6.39±0.45)cm]与术前[(6.42±0.47)cm]比较差异无统计学意义(P0.05),大于对照组术后[(5.86±0.55)cm](P0.05);随访12个月,观察组治愈率(93.33%)高于对照组(73.33%),差异有统计学意义(P0.05);观察组术后并发症发生率(10.0%)与对照组(15.0%)比较差异无统计学意义(P0.05)。结论盆腔脏器脱垂采用Prolift全盆悬吊术重建盆底功能,其疗效优于经阴道子宫切除+阴道前后壁修补术。
[Abstract]:Objective to explore the difference of clinical effect between Prolift total pelvic suspension and vaginal hysterectomy and vaginal anterior and posterior wall repair in the treatment of pelvic organ prolapse. Methods 90 patients with prolapse of pelvic viscera were treated with Prolift total pelvic suspension for 30 cases as observation group and 60 cases as control group treated by vaginal hysterectomy before and after vaginal wall repair. The time of operation, the amount of blood lost during operation, the time of retention of urinary catheterization, the time of hospitalization, the length of vagina after operation and the curative effect were compared between the two groups. Results the operative time [(69.5 卤11.3) min] in the observation group was shorter than that in the control group [(124.7 卤14.0) min], and the intraoperative bleeding volume [(58.7 卤18.0) mL] was less than that in the control group [(133.5 卤26.4) mL)]. The difference was statistically significant (P0.05). There was no significant difference between the observation group and the control group (5.3 卤1.2 days, 8.2 卤1.7 days) and the control group (5.7 卤1.5), (8.5 卤2.0 days, P0.05). The vaginal length in the observation group [(6.39 卤0.45) cm] was not significantly different from that in the preoperative group [(6.42 卤0.47) cm] (P0.05), and was larger than that in the control group [(5.86 卤0.55) cm] (P0.05). The cure rate in the observation group (93.33%) was higher than that in the control group (73.33%), the difference was statistically significant (P0.05). The incidence of postoperative complications in the observation group (10.0%) was not significantly different from that in the control group (15.0%) (P0.05). Conclusion the pelvic floor function was reconstructed by Prolift total pelvic suspension, and the effect was better than that of transvaginal hysterectomy and anterior and posterior vaginal wall repair.
【作者单位】：首都医科大学附属北京安贞医院妇产科;北京朝阳医院妇产科;
【基金】：首都医学发展科研基金资助项目(2011-2003-03)
【分类号】：R713

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