改良盆底重建术和经阴道子宫切除术治疗盆腔脏器脱垂性疾病临床意义.docVIP

改良盆底重建术和经阴道子宫切除术治疗盆腔脏器脱垂性疾病临床意义 　　[摘要] 目的 探讨改良盆底重建术和经阴道子宫切除术（TVH）治疗盆腔脏器脱垂性疾病的临床效果。 方法 随机选取2012年1月～2013年12月期间我院收治的盆腔脏器脱垂性疾病患者76例作为研究对象，按手术方式的不同，将接受TVH加阴道前后壁修补术治疗的38例患者作为对照组，将接受TVH加改良盆底重建术治疗的38例患者作为观察组，观察和比较两组的手术效果。 结果 两组患者手术时间、术中出血量、术后保留尿管时间及住院时间比较差异无统计学意义（P0.05）；两组患者治疗前后PFID-20评分、PISQ-12评分比较，差异有统计学意义（P0.05）；观察组复发率为2.63%，对照组复发率为15.79%，差异有统计学意义（P0.05）；观察组性生活质量下降率为5.26%，对照组性生活质量下降率为21.05%，差异有统计学意义（P0.05）。 结论 改良盆底重建术作为一种新术式，可更好地实现结构重建及组织替代，可有效修补缺陷，且复发率低，可作为盆腔脏器脱垂性疾病的理想术式。 　　[关键词] 盆腔脏器脱垂性疾病；改良盆底重建术；经阴道子宫切除术；阴道前后壁修补术 　　[中图分类号] R656 [文献标识码] B [文章编号] 1673-9701（2016）06-0052-04 　　Clinical significance of modified pelvic reconstructive surgery and vaginal hysterectomy in the treatment of pelvic organ prolapse 　　HE Ke1 QU Hu2 FEI Hui1 NIU Gang1 　　1.Department of Obstetrics and Gynecology， the First Affiliated Hospital of Sun Yat-sen University， Zhongshan University， Guangzhou 510080， China； 2.Department of Urology， Reproductive Medicine Centre， the Sixth Affiliated Hospital of Sun Yat-sen University， Guangzhou 510655， China 　　[Abstract] Objective To probe into the clinical effects of modified pelvic reconstructive surgery and vaginal hysterectomy in the treatment of pelvic organ prolapse. Methods A total of 76 patients who suffered from the pelvic organ prolapse and accepted treatments in our hospital from January 2012 to December 2013 were taken as the research objects， and according to the different surgical methods， 38 patients who treated with TVH plus anterior and posterior vaginal wall repair as the control group， 38 patients who treated with TVH and modified pelvic reconstructive surgery as the observation group. Then，the operation effect of two groups of patients were observed and compared. Results There was no significant difference in operation time， bleeding volume， postoperative retention time and hospitalization time between the two groups（P0.05）； The PFID-20 scores， PISQ-12 scores had significant differences between two groups before treatment and after tr