摘要
Abstract
Objective:To evaluate the treatments of pelvic organ prolapse hy transvaginal hysterectomy + modified pelvic floor reconstruction and transvaginal hysterectomy + anlerior and posterior vaginal wall repair. Methods; 102 cases of pelvic organ prolapse in Ⅱ ~ Ⅳ degree from April 2007 to April 2011 were collected. 65 cases underwent transvaginal hysterectomy+modified pelvic floor reconstruction (reconstruction group) and 37 cases underwent transvaginal hysterecto-my+anterior and posterior vaginal wall repair( traditional group). Alter a follow-up of 3,6,12,36 months,the patients of POP-Q in Ⅱ and more than Ⅱ degree were judged to be recurrence. Re-sultS:2(3.08% )patients recurred in reconstruction group,6 patients( 16.21% )recurred in traditional group recurrence,two groups of the recurrence rate was statistically significant difference(P <0.05). Reconstruction group recurrence of the patients with nets exposed erosion, cut off exposed mesh and treated with local estrogen therapy. At present the results were satisfactory. Traditional group patients of recurrence were treated with the pessry, Prolift pelvic revascularization, revascularizalion vaginal closed surgery, respectively. At present the results were satisfactory. 35 cases of sexual life in reconstruction group and 25 cases of sexual life in traditional group after surgery. The sexual function questionnaire scores were compared with preoperative decreased (P< 0.05) ,but the two group of postoperative sexual function score was not significantly different(P> 0.05). Conclusion:Modified pelvic floor reconstruction as a new technique,better able to repair defects,to realize the structure reconstruction and tissue replacement,the recurrence rate is low. Compared with the traditional operation it has an advantage more especially forⅢ ~ Ⅳ degree prolapse patients,short curative effect is stable,long-term efficacy remains to be further observation. Pessary ran be selected firstly in postoperative recurrence patients.关键词
盆腔器官脱垂/改良盆底重建术Key words
Pelvic organ prolapse/Modified pelvic floor reconstruction分类
医药卫生
