摘要
目的分析盆底重建术治疗盆腔脏器脱垂(POP)的临床疗效。方法选取2012年1月‐2015年12月于该院因POP II-IV接受经阴盆底重建手术(TVM)的患者227例,分析患者盆腔脏器脱垂定量分期法(POP-Q评分)、盆底功能障碍问卷-20(PFDI-20评分)、盆底障碍影响简易问卷-7(PFIQ-7评分)、盆腔器官脱垂/尿失禁性生活质量问卷-12(PISQ-12评分)以及术后复发率及手术并发症情况,共随访2年。结果术前与术后的POP-Q评分比较,客观治愈率100%,差异有统计学意义(P <0.05)。手术后POP-Q中的各位点值均上升,达到解剖学复位。术后的PFDI-20及PFIQ-7评分低于术前,差异有统计学意义(P <0.05)。术后PISQ-12评分高于术前,差异有统计学意义(P <0.05)。术后脱垂复发率为4.42%,疼痛发生率为8.81%,网片暴露率为4.85%,主观满意率为96.5%。结论经阴盆底重建术治疗II-IV度POP安全、疗效确切,对患者生活质量有明显地提高和改善,是POP的理想术式。
【Objective】To investigate the clinical effect of pelvic floor reconstruction surgery in the treatment of patients with severe pelvic organ prolapse(POP).【Methods】Totally 227 severe pelvic organ prolapse patients who underwent pelvic floor reconstruction surgery with transvaginal mesh was analyzed at Department of Obstetrics and Gynecology, Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital from January 2012 to December 2015. Pelvic Organ Prolapse Quantification(POP-Q) scores, Pelvic Floor Distress Inventory-Short Form 20(PFDI-20) scores, Pelvic Floor Impact QuestionnaireShort Form 7(PFIQ-7) scores, Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-Short Form 12(PISQ-12) scores, postoperation recurrence rate, postoperation painness rate, the mesh exposure rate and complications were analyzed. The follow-up time was 2 years.【Results】The postoperative POP-Q scores were statistically improved compared with preoperative(P <0.05). The objective cure rate was 100%. The postoperative PFDI-20 and PFIQ-7 scores were lower, the difference was statistically significant(P <0.05). After operation, PISQ-12 scores were significantly higher than those before operation(P <0.05). The recurrence rate, the painness rate and the mesh exposure rate was 4.42%, 8.81%, 4.85%, respectively. The subjective cure rate was 96.5%.【Conclusion】Pelvic floor reconstruction surgery is a safe and effective surgery for pelvic organ prolapse patients, significantly improving the quality of life of patients. It is an ideal surgery for pelvic organ prolapse.
作者
郭晓霞
杨年
GUO Xiaoxia;YANG Nian(Department of Obstetrics and Gynecology,Sichuan Academy of Medical Sciences&Sichuan Provincial People’s Hospital,Chengdu,Sichuan 610041,China)
出处
《中国医学工程》
2019年第1期1-5,共5页
China Medical Engineering
关键词
盆腔脏器脱垂
盆底重建术
疗效
pelvic organ prolapse
pelvic floor reconstruction surgery
clinical effect
