摘要
目的探讨盆腔器官脱垂(POP)患者运用盆底修复网片系统进行盆底重建治疗的疗效。方法选择Ⅲ度及以上子宫或(和)阴道壁脱垂患者32例,24例行全盆重建术(75.0%),8例行前盆重建术(25.0%),10例合并压力性尿失禁同时行TVT-O尿道中段悬吊术(31.3%)。结果 32例患者手术过程均较顺利,术中无严重并发症。术后随访2～4年,除1例(3.13%)子宫、阴道前壁轻度膨出外,余无复发,另有1例患者术后足月孕剖宫产一子,产后未发现POP复发迹象。术后性生活困难、急迫性尿失禁、网片侵蚀的发生几率分别为21.43%,6.25%和0。结论用盆底修复网片系统进行盆底重建治疗POP是一种安全、有效、微创的术式,中短期疗效满意。
Objective To explore the curative effect of the Gynecare Prolift in surgery therapy on pelvic organ prolapse（POP）.Methods Thirty two cases with stage Ⅲ or more severe uterine and/or vagina prolapse underwent the pelvic organ prolapse quantification examination（POP-Q） were enrolled.All the 32 cases underwent pelvic floor reconstruction by using total pelvic floor reconstruction（24 cases,75%） and anterior pelvic floor reconstruction（8 cases,25%） and 10 cases（31.3%） therein,who suffered from stress urinary incontinence,with tension-free vaginal tape obturator system（TVT-O） procedure simultaneously.Results There were no severe operative complications in all 32 cases.All the cases were followed up for 2 to 4 years.It was no recurrence except 1 in 32 cases was anterior wall of vagina expand slightly（3.13%）.1 in 32 cases underwent cesarean section after term pregnancy and there was no recurrence of POP.The occurrence probability of dyspareunia,imperative urinary incontinence and asymptomatic erosion were 21.43%,6.25% and 0 respectively after operation.Conclusion Gynecare Prolift system is considered as a safe,effective and mini-invasive surgery therapy on POP.This surgery has a stable middle and short-term curative effect.
出处
《临床军医杂志》
CAS
2012年第5期1151-1153,共3页
Clinical Journal of Medical Officers
关键词
盆底重建
盆腔器官脱垂
压力性尿失禁
网片
pelvic floor reconstruction
pelvic organ prolapse
stress urinary incontinence
Prolift
作者简介
夏秀英（1965-），女，四川人寿人，副主任医师
