网片盆底重建术20例临床观察.PDF

546 Medical Science Journal of Central South China,Sep2015,Vol.43,No.5 DOI:10郾15972/ j郾cnki郾43鄄1509/ r郾2015郾05郾015 ·临床医学· 网片盆底重建术20例临床观察 刘英姿 (广东同江医院妇产科,广东佛山528300) 摘摇 要:摇 目的摇 探讨网片在女性盆底重建术中的应用效果。 摇 方法摇 选择40 例接受女性盆底重建手术治 疗的患者作为研究对象,将其按照随机数字表格法分为观察组与对照组,各20 例,观察组采用聚丙烯网片盆底组 织悬吊术治疗,对照组给予传统阴式子宫切除加阴道前后壁修补术治疗。 经治疗后,对两组患者的术中出血量、手 术时间、残余尿量、术后复发率以及术后性生活满意度进行比较分析。 摇 结果摇 两组手术均成功,在手术时间、术 中出血量、残余尿量等方面相比较,观察组要显著优于对照组,经统计学分析组间差异显著(P 0.05)。 手术后进 行6~24 个月的随访,观察组患者手术之后没有出现尿失禁、下腹坠胀及便秘等情况,未出现网片感染以及侵蚀情 况。 摇 结论摇 网片应用于女性盆底重建术简单安全,短期治疗效果较为理想。 关键词:摇 盆腔器官脱垂;摇 盆底重建;摇 网片 中图分类号:R711.23摇 摇 摇 文献标识码:A Clinical Observation of20 Cases of Mesh Pelvic Floor Reconstruction LIU Yingzi (Department of Gynecology and Obstetrics,Tongjiang Hospital,Foshan,Guangdong 528300,China) Abstract:摇 Objective摇 To explore the therapeutic efficacy of mesh in female pelvicfloor reconstruction.摇 Method 40 patientswhounderwentfemalepelvicfloorreconstructionwereselectedasthesubject,andthenwereassignedintoobser鄄 vation group and control groupaccordingtothemethodofrandomdigittabletwith20 casesineach.Patientsintheobserva鄄 tion were treatedwith polypropylene mesh pelvic floor tissue ventrofixation,and patients in the control group were treated with traditional vaginal anterior and posterior wall neoplasty.After treatment,a comparative analysis was made between the two groups in terms of intraoperative bleeding volume,operation time,residual urine volume,postoperative recurrence rate and satisfaction in postoperative sexual life.摇 Results摇 The operation of patients in both groups was successful.When a comparison was made in terms of operation time,int