同济大学学报（医学版）2018，Vol.39Issue(3)：89-93,5.DOI:10.16118/j.1008-0392.2018.03.017
自裁网片的改良全盆底悬吊手术对POP患者盆底肌力的干预效果
Modified total pelvic reconstruction with polypropylene mesh for patients with pelvic organ prolapse
摘要
Abstract
Objective To evaluate the application of the modified total pelvic reconstruction operation with polypropylene mesh in patients with pelvic organ prolapse ( POP). Methods Clinical data of 105 POP patients admitted from March 2008 to April 2010 were retrospectively reviewed. Among 105 patients 68 cases received the modified total pelvic reconstruction with polypropylene mesh ( reconstruction group) and 37 patients received Prolift operation ( Prolift group). And 30 non-POP patients admitted during the same period served as controls. Pelvic muscle strength was examined with pelvic surface electromyography before and 3 months after surgery. Results Non-parametric Wilcoxon test showed significant improvement in voltage for sustained contraction and duration for type I fiber of pelvic muscle after surgery ( P＜0. 05) , number of contraction and quick contraction of the median voltage of type Ⅱ fiber also showed significantly improvement ( P＜0. 05). There was no significant difference in improvement of type I and type Ⅱ muscle fibers index between two groups( P＞0. 05). Conclusion Both the modified total pelvic reconstruction with polypropylene mesh and Prolift operation can significantly improve pelvic muscle strength.关键词
改良全盆底悬吊手术/Prolift手术/盆底肌力/表面肌电图/Ⅰ类肌纤维/Ⅱ类肌纤维Key words
modified total pelvic reconstruction/Prolift procedure/pelvic muscle strength/the surface EMG/type I muscle fiber/Type Ⅱmuscle fiber分类
医药卫生引用本文复制引用
曹志娟,秦梦路,陈信良,童晓文,王娴静..自裁网片的改良全盆底悬吊手术对POP患者盆底肌力的干预效果[J].同济大学学报（医学版）,2018,39(3):89-93,5.基金项目
国家自然科学基金(81571419) （81571419）
上海交通大学医工交叉项目(YG2015MS40) （YG2015MS40）
