| 韦 玮,陈心秋,贺红英,谭广萍,林佳静.经利用网片的前盆底重建术治疗重度盆腔器官脱垂的临床疗效[J].,2017,17(10):1957-1959 |
| 经利用网片的前盆底重建术治疗重度盆腔器官脱垂的临床疗效 |
| Clinical Effect of the Anterior Pelvic Floor Reconstruction with Mesh in the Treatment of Severe Pelvic Organ Prolapse |
| 投稿时间：2016-09-27 修订日期：2016-10-20 |
| DOI：10.13241/j.cnki.pmb.2017.10.042 |
| 中文关键词: 前盆重建 网片 骶棘韧带固定术 |
| 英文关键词: Anterior pelvic reconstruction Mesh Sacrospinous ligament fixation |
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| 中文摘要: |
| 摘要 目的：探讨经利用网片的前盆底重建术治疗重度盆腔器官脱垂的临床效果。方法：选取2013 年1月-2015 年3月我院妇科收治的以前中盆腔联合缺陷为主的盆底障碍性疾病患者39例（POP-Q分度III-IV度）。实施经阴道Avaulta前盆腔重建术，24例切除子宫，9例保留子宫，其中6例因中盆腔重度脱垂联合行阴道残端骶棘韧带固定术，2例合并尿失禁同时行经尿道无张力悬吊术。术后随访12-25月，根据盆腔脏器脱垂评分（POP-Q）测量及PFIQ-7评分进行客观评价及主观感受评价进行中短期的临床效果分析。结果：39例患者手术过程顺利，术后无严重并发症，POP-Q评分均较术前显著降低，客观疗效理想。术后阴道前壁及子宫、阴道穹窿脱垂等症状显著改善；到目前为止无一例复发。结论：经阴道前盆腔重建术治疗前盆腔重度盆腔脱垂为主以及合并尿失禁等复杂情况的并发症少，治愈率高，复发率低，临床效果好。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the clinical effect of the anterior pelvic floor reconstruction with mesh in the treatment of severe pelvic organ prolapse. Methods: 39 patients with pelvic floor disorder who were treated in the department of gynaecology of our hospital from January 2013 to March 2015 were selected,patients were combined defect of anterior pelvic and pelvic cavity (POP-Q division was III-IV degree), they were treated with transvaginal Avaulta anterior pelvic reconstruction, 24 patients were removed in the uterus, 9 patients were retained the uterus. Among them, 6 patients were treated by severe pelvic prolapse combined with vaginal stump of the sacral spine ligament fixation, 2 patients with urinary incontinence were treated by tension free suspension of the urethra. Followed up 12-25 months after operation, POP-Q and PFIQ-7 scores were used to evaluate the clinical effect of the objective evaluation and subjective evaluation. Results: 39 patients were operated smoothly and no serious complications, POP-Q scores were significantly lower than that before operation, objective curative effect was ideal. The front wall of the vagina and uterus and vaginal vault prolapse symptoms after operation improved significantly. Up to now there was no case of recurrence. Conclusion: Vaginal anterior pelvic reconstruction in the treatment of severe pelvic prolapse and urinary incontinence with few complications, the cure rate is high, the recurrence rate is low, and the clinical effect is good. |
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