摘要
Abstract
Objective To explore the influence of hysterectomy on pelvic floor reconstruction.Methods Retrospectively analysis was conducted on the clinical data of 91 cases from Xiamen Maternity and Child Health Care Hospital with pelvic organ prolapse ( POP) stagingⅢ-IV according to POP-Q between January 2011 and December 2012.All of 91 cases underwent pelvic floor reconstruction ( using Prolift mesh) , and they were divided into two groups according to undergoing hysterectomy or not.The postoperative efficacy was compared between two groups.Results The average operating time (157.30 ±5.38min) for uteri-removed group was significantly longer than that of uteri-reserved group (132.29 ±11.88min) (t=41.10,P<0.001).The blood loss (214.81 ±18.26mL) of the uteri-removed group was significantly more than that of the uteri-reserved group (187.14 ±48.24mL) (t=45.47, P<0.001).The average vaginal length of the uteri-reserved group was longer than that of the uteri-removed group, and the difference was significant (t=5.45,P<0.001).Two groups were followed up at 1, 3, 6 and 12 month after surgery with follow-up rate of 100%.The curative rate of both groups was 100%.There was 1 case of mesh exposure in the uteri-removed group but none in the uteri-reserved group.No injury to bladder, urinary tract or intestinal, no infection or erosion, no persistent bowel or urinating difficulties was found.Conclusion For pelvic floor reconstruction, preserving uterus, in a certain sense, maintains the stability of pelvic structure.Its short-term effect is similar to uteri-removed group but with shorter operating time, lower risk of perioperation for older women and better surgical tolerance.But further follow-up study is required to explore the long-term results and long-term complications.关键词
子宫切除/全盆底重建/盆腔器官脱垂/网片Key words
hysterectomy/pelvic floor reconstruction/pelvic organ prolapse ( POP)/mesh分类
医药卫生
