Prolift前路并阴道后壁补片治疗Ⅱ～Ⅲ度盆腔器官脱垂疗效分析

杨纪实; 周留林; 郝臻凤

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

Prolift前路并阴道后壁补片治疗Ⅱ～Ⅲ度盆腔器官脱垂疗效分析

杨纪实 , 周留林 , 郝臻凤

文章导航 > 蚌埠医学院学报 > 2013, 37 > 8: (964-966)

引用本文:

Citation:

Prolift前路并阴道后壁补片治疗Ⅱ～Ⅲ度盆腔器官脱垂疗效分析

1.
扬州大学附属泰兴医院妇产科, 江苏泰兴 225400

作者简介: 杨纪实(1962－)，男，主任医师.

基金项目:

The clinical effect evaluation of Prolift anterior pelvic floor reconstruction combined with vaginal posterior Gynemesh in the treatment of stage Ⅱto Ⅲ pelvic organ prolapse

1.
Department of Obstetrics and Gynecology, Taixing Hospital of Yangzhou University, Taixing Jiangsu 225400, China

摘要: 目的:评估Prolift前路并阴道后壁补片治疗Ⅱ～Ⅲ度盆腔器官脱垂(POP)的有效性和安全性。方法:对POP定量系统(POP-Q)评价为Ⅱ～Ⅲ度的25例女性POP患者进行Prolift前路并阴道后壁补片全盆底重建,采用主观评价(盆底功能障碍影响问卷简版评分)和客观评价(盆腔器官脱垂定量分期法)等方法对围手术期及术后近期各项指标的变化及并发症发生情况进行分析。结果:Prolift前路并阴道后壁补片全盆底重建术的手术时间30～60 min;术中出血量30～90 ml,均未发生周围器官损伤、大出血等手术并发症;术后住院时间3～6 d,随访时间1～12个月,术后4周复查时均无阴道壁脱垂或子宫脱垂,术后POP-Q各指标及盆底功能评分较术前显著降低(P0. 01)。结论:Prolift前路并阴道后壁补片全盆底重建术具有创伤小、疼痛轻、恢复快、经济、安全等特点,近期疗效满意。
- 子宫疾病 /
- 盆腔器官脱垂 /
- 盆底重建术
Abstract: Objective: To evaluate the clinical efficacy and safety of Prolift anterior pelvic floor reconstruction combined with vaginal posterior Gynemesh in the treatment of stage Ⅱto Ⅲ pelvic organ prolapse( POP) . Methods: Twenty-five patients with stage Ⅱto Ⅲ pelvic organ prolapse rated by POP quantification( POP-Q) were treated with Prolift anterior pelvic floor reconstruction combined with vaginal posterior Gynemesh. The changes of the indicators and complications of all patients were analysed by subjective assessment ( according to pelvic organ prolapse quality of life score) and Objective assessment ( according to POP-Q examination score) in perioperative and postoperative period. Results: The operation time and blood loss amount were ranging from 30 to 60minutes and ranging from 30 to 90 ml， respectively. No surrounding organ damage and massive hemorrhage were found. The mean hospital stays time and median following up time were ranging from 3 to 6 days and ranging from 1 to 12 months， respectively. No vaginal wall and uterine prolapse were found at 4 weeks after the operation. The postoperation indicators of POP-Q and the score of pelvic floor function were lower than those in preoperation( P ＜0. 01) . Conclusions: Prolift anterior pelvic floor reconstruction combined with vaginal posterior Gynemesh is few complications， light pain， qucik recovery， economy and safe. Its short-term curative effects are good， and long-term effects are uncertain.
- uterine disease /
- pelvic organ prolapse /
- pelvic floor reconstruction

[2] 姚远洋，张晓红，王建六. 网片在盆底重建手术中的应用进展[J]. 国外医学: 妇产科学分册，2007，34(2) : 111 － 114.
[2]	Latini JM，Kreder KJ Jr. Associated pelvic organ in women with stress urinary when to operate[J]. Curr Opin Urol，2005，15(6) :380 － 385.
[3] Bump RE，Mattiasson A. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction[J]. Am J Obstet Gynecol，1996，175(1) : 10 － 17.
[4] Barber MD，Kuchibhatla MN，Pieper CF，et al. Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders[J]. Am J Obstet Gynecol，2001，185(6) : 1388 － 1395.
[5] De Tayrac R，Chauveaud-Lambling A，Femandez D，et al. Quality of life instruments for women with pelvic organ prolapse (in French) [J]. J Gynecol obstet Biol Reprod(Paris) ，2003，32(6) :503 － 507.
[6] Cosson M，Caquant F，Collinet P，et al. prolift mesh(Gynecare) for pelvic organ prolapse surgical treatment using the TVM grouptechnique: a retrospective study of 686 patients [J]. Neurourol Urodyn，2005，24(4) : 590 － 592.
[7] 朱兰，娄文佳，郎景和，等. 无穿刺加用网片盆底重建术治疗症状性Ⅱ ～Ⅲ度盆腔器官脱垂的近期疗效分析[J]. 实用妇产科杂志，2011，27(3) : 201 － 203.

[1]	谢晔玲 , 施如霞 , 鞠华妹 . 手术治疗盆底功能障碍性疾病70例分析. 蚌埠医学院学报, 2008, 33(5): 577-580.
[2]	田梅 . 改良腹式筋膜内子宫切除术30例临床分析. 蚌埠医学院学报, 2005, 30(5): 448-449.
[3]	王文艳 , 朱兰 , 李胜泽 , 李群 , 李玉芝 , 李燕华 , 孙蕊 , 马玲 , 李庆文 , 申震 . 盆腔器官脱垂对下尿道功能影响的尿动力学研究. 蚌埠医学院学报, 2009, 34(10): 874-877.
[4]	李靓 , 张晓平 , 刘永莹 . 改良盆底重建术对盆底功能恢复21例疗效观察. 蚌埠医学院学报, 2012, 36(12): 1456-1458.
[5]	李霞 . 改良阴式子宫切除术临床效果评价. 蚌埠医学院学报, 2009, 34(8): 693-695.
[6]	崔艳艳 , 刘健 . 腹腔镜全子宫切除术的临床效果分析. 蚌埠医学院学报, 2010, 35(11): 1125-1126.
[7]	张泽莉 , 王倩 , 舒秀亮 , 范丛玲 . 宫腔镜电切术治疗子宫黏膜下肌瘤26例. 蚌埠医学院学报, 2013, 37(8): 948-950.
[8]	李荣 . 宫腔镜电切术治疗宫内占位性病变69例. 蚌埠医学院学报, 2012, 36(9): 1082-1084.
[9]	阮洁 , 焦贤春 . 血清CA-125及B超在诊断子宫腺肌病中的价值. 蚌埠医学院学报, 2009, 34(9): 809-810.
[10]	曹卫民 . 子宫腺肌症的MRI征象17例分析. 蚌埠医学院学报, 2008, 33(2): 220-222.
[11]	李燕 , 王金萍 , 陈晓艺 . 超声宫腔水造影在宫腔病变中的应用评价. 蚌埠医学院学报, 2020, 45(4): 511-514. doi: 10.13898/j.cnki.issn.1000-2200.2020.04.024
[12]	梁茂芸 , 陈智明 , 赵珺 , 叶娟华 , 王安双 . 非脱垂子宫疾病经阴道全子宫切除术与经腹全子宫切除术临床疗效比较. 蚌埠医学院学报, 2015, 40(3): 364-366. doi: 10.13898/j.cnki.issn.1000-2200.2015.03.023
[13]	蒋维 , 韩炜 , 刘维红 , 刘迎军 , 张桂欣 , 陈宝丽 . 孕产期盆底功能训练指导对盆腔脏器脱垂的发病率及电刺激治疗效果的影响. 蚌埠医学院学报, 2020, 45(3): 342-344, 347. doi: 10.13898/j.cnki.issn.1000-2200.2020.03.015
[14]	周萍 . 非脱垂子宫阴式全子宫切除术的临床应用. 蚌埠医学院学报, 2007, 32(3): 320-321.
[15]	余爱明 . 非脱垂子宫阴式全子宫切除术35例分析. 蚌埠医学院学报, 2010, 35(5): 485-486.
[16]	任秀萍 . 改良阴式非脱垂子宫切除术临床体会. 蚌埠医学院学报, 2009, 34(9): 778-780.
[17]	施晓燕 , 施晓莺 , 田梅 , 唐佳音 . 非脱垂子宫阴式手术37例临床分析. 蚌埠医学院学报, 2008, 33(4): 448-449.
[18]	丁华 . 非脱垂子宫经阴道切除术120例分析. 蚌埠医学院学报, 2012, 36(4): 424-425.
[19]	张雪玲 , 张艳梅 . 非脱垂子宫经阴道子宫切除术围手术期整体护理. 蚌埠医学院学报, 2009, 34(12): 1143-1144.
[20]	杨云 , 支翠芳 . 自体腹壁筋膜经腹膜外子宫悬吊术治疗子宫脱垂20例临床分析. 蚌埠医学院学报, 2013, 37(3): 305-306.

点击查看大图

计量

文章访问数: 2996
HTML全文浏览量: 401
PDF下载量: 144
被引次数: 0

Prolift前路并阴道后壁补片治疗Ⅱ～Ⅲ度盆腔器官脱垂疗效分析

作者简介: 杨纪实(1962－)，男，主任医师.

1. 扬州大学附属泰兴医院妇产科, 江苏泰兴 225400

收稿日期: 2012-05-28
网络出版日期: 2013-08-15

基金项目:

关键词:

摘要: 目的:评估Prolift前路并阴道后壁补片治疗Ⅱ～Ⅲ度盆腔器官脱垂(POP)的有效性和安全性。方法:对POP定量系统(POP-Q)评价为Ⅱ～Ⅲ度的25例女性POP患者进行Prolift前路并阴道后壁补片全盆底重建,采用主观评价(盆底功能障碍影响问卷简版评分)和客观评价(盆腔器官脱垂定量分期法)等方法对围手术期及术后近期各项指标的变化及并发症发生情况进行分析。结果:Prolift前路并阴道后壁补片全盆底重建术的手术时间30～60 min;术中出血量30～90 ml,均未发生周围器官损伤、大出血等手术并发症;术后住院时间3～6 d,随访时间1～12个月,术后4周复查时均无阴道壁脱垂或子宫脱垂,术后POP-Q各指标及盆底功能评分较术前显著降低(P0. 01)。结论:Prolift前路并阴道后壁补片全盆底重建术具有创伤小、疼痛轻、恢复快、经济、安全等特点,近期疗效满意。

English Abstract

The clinical effect evaluation of Prolift anterior pelvic floor reconstruction combined with vaginal posterior Gynemesh in the treatment of stage Ⅱto Ⅲ pelvic organ prolapse

1. Department of Obstetrics and Gynecology, Taixing Hospital of Yangzhou University, Taixing Jiangsu 225400, China

Received Date: 2012-05-28
Available Online: 2013-08-15

Abstract: Objective: To evaluate the clinical efficacy and safety of Prolift anterior pelvic floor reconstruction combined with vaginal posterior Gynemesh in the treatment of stage Ⅱto Ⅲ pelvic organ prolapse( POP) . Methods: Twenty-five patients with stage Ⅱto Ⅲ pelvic organ prolapse rated by POP quantification( POP-Q) were treated with Prolift anterior pelvic floor reconstruction combined with vaginal posterior Gynemesh. The changes of the indicators and complications of all patients were analysed by subjective assessment ( according to pelvic organ prolapse quality of life score) and Objective assessment ( according to POP-Q examination score) in perioperative and postoperative period. Results: The operation time and blood loss amount were ranging from 30 to 60minutes and ranging from 30 to 90 ml， respectively. No surrounding organ damage and massive hemorrhage were found. The mean hospital stays time and median following up time were ranging from 3 to 6 days and ranging from 1 to 12 months， respectively. No vaginal wall and uterine prolapse were found at 4 weeks after the operation. The postoperation indicators of POP-Q and the score of pelvic floor function were lower than those in preoperation( P ＜0. 01) . Conclusions: Prolift anterior pelvic floor reconstruction combined with vaginal posterior Gynemesh is few complications， light pain， qucik recovery， economy and safe. Its short-term curative effects are good， and long-term effects are uncertain.