河北医学Issue(10):1625-1628,4.DOI:10.3969/j.issn.1006-6233.2014.10.014
全盆底重建术与传统阴式修补术治疗重度盆腔器官脱垂的近期疗效观察
The Short-term Effect of Total Pelvic Floor Reconstruction and Traditional Transvaginal Repair on Severe Pelvic Organ Prolapse
摘要
Abstract
Objective:To compare the safety and short-term therapeutic effect of total pelvic floor re-construction and traditional transvaginal repair in treatment of severe pelvic organ prolapse .Method:80 eli-gible patients were selected and randomly divided into observation group and control group , 40 patients in each group .The observation group used total pelvic floor reconstruction , while the control group used tradi-tional transvaginal repair , and the surgery effect were compared .Result:The operative time , intra-operative blood loss , postoperative urethral catheter intubation time , hospital day and residual urine volume of the ob-servation group were all better than those of the control group , and the differences were statistically signifi-cant (P<0.05).The preoperative PFDI-20 scores of the two groups were similar , and the difference was sta-tistically insignificant ( P>0.05);6 months after the surgeries , the PFDI-20 scores of both groups were de-creased when compared with those before the surgeries ( P>0.05) , but the decrease extent of the observation group was greater , and the difference was statistically significant ( P<0.05) .in 6 months after the surgeries , 39 patients in observation group were cured , while 34 patients of the control group were cured , and the difference was statistically significant (P<0.05).3 patients in observation group suffered from postoperative complications , 5 patients suffered in control group , and the difference was statistically insignificant ( P>0. 05).Conclusion:Total pelvic floor reconstruction in treatment of severe pelvic organ prolapse causes small operation wound , can rebuild pelvic floor construction and recover pelvic floor function better , and has a higher short-term cure rate .关键词
盆腔器官脱垂/重度/全盆底重建术/传统阴式修补术Key words
Pelvic organ prolapse/Severe/Total pelvic floor reconstruction/Traditional trans-vaginal repair引用本文复制引用
高霞,张红宇..全盆底重建术与传统阴式修补术治疗重度盆腔器官脱垂的近期疗效观察[J].河北医学,2014,(10):1625-1628,4.基金项目
泸州医学院附属医院博士基金资助项目, ()