改良盆底重建术对盆底功能恢复21例疗效观察
Therapeutic effects of modified pelvic floor reconstruction on the pelvic function recovery
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摘要: 目的: 观察改良盆底重建术治疗重度盆腔脏器脱垂(POP)的疗效。方法: 以盆腔器官脱垂定量评分为疗效的客观评价指标,对21例盆腔器官中重度脱垂患者行改良盆底重建术,并分析围术期及术后12个月各项治疗评价指标及并发症的发生情况。结果: 术中无严重并发症发生;手术有效率100%;3例患者术后7个月发生网片侵蚀,1例发生术后排尿困难,术后复发率为20%。结论: 改良盆底重建术是治疗POP的一种安全、有效的手术方法,但应重视其对术后性生活的影响,短期效果满意,远期疗效有待进一步观察。Abstract: Objective: To evaluate clinical effects of modified pevic floor reconstruction on severe pelvic viscera prolapse.Methods: Twenty-one palients with severe pelvic prolapse were treated with modified pelvic floor reconstruction surgery.Treatment evaluation parameters of peroperation and complications 12 months after surgery were analyzed according to the POP-Qstandard.Results: The success rate of operation was 100%, and no any complications.Three cases with mesh erosion 7 months after surgery and 1 case with postoperative urination difficulties were found,and the rate of postoperative morbidity was 20%.Conclusions: Modified pelvic reconstruction is a safe, efficient and micro-invasive for treating severe pelvic prolapse.However, its effects on postoperative sexual life should be concerned.The mehod has good short-term effects,but the long-term effects need further study.
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Key words:
- modified pelvic reconstruction /
- mesh /
- pelvic viscera prolapse
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[2] Cosson M,Caquant F,Colinet P,et al.Prolift(Mesh Gynecare)for pelvic organ prolapse surgical treatment using the TVM group technique:a retrospective study of 687 patients[J].Neurourol Urodyn,2005,24(4):590-592. [2] Olsen AL,Smith VJ,Bergstorm JO,et al.Epidemiology of surgically managed pelvic organ prolapse ang urinary incontinence[J].Obstet Gynecol,1997,89(4):501-506. [3] 曹晓兰,徐惠成,于江,等.经阴道改良式全盆底重建手术治疗女性盆腔器官脱垂[J].第三军医大学学报,2009,31(9):854-856. [4] 朱兰,郎景和,任常,等.改良全盆底重建术[J].中华妇产科杂志,2007,42(9):634-635. [5] Fauconnier A,Zareski E,Abichedid J,et al.Dynamic magnetic resonance imaging for grading pelvic organ prolapse accordingto the International Continence Society classification:which line should be used[J].Neurourol Urodyn,2008,27(3):191-197. [6] Altman D,Vyrynen T,Engh ME,et al.Short-term outcome after transvaginal mesh repair of pelvic organ prolapse [J].Int Urogynecol J Pelvic Floor Dysfunct,2008,19(6):787-793. [7] Handa VL,Lockhart ME,Fielding JR,et al.Racial differences in pelvic anatomy by magnetic resonance imaging [J].Obstet Gynecol,2008,111(4):914-920. [8] Mourtzinos A,Raz S.Repair of vaginal vault prolapse and pelvic floor relaxation using polypropylene mesh[J].Curr Opin Obstet Gynecol,2006,18(5):555-559. [9] Colinet P,Belot F,Debodinance P,et al.Transvaginal mesh technique for pelvic organ prolapse repair:mesh exposure management and risk factors[J].Int Urogynecol J Pelvic Floor Dysfunct,2006,17(4):315-320. [10] Tan JS,Lukacz ES,Menefee SA,et al.Determinants of vaginal length[J].Am J Obstet Gynecol,2006,195(6):1846-1850. [11] Amrute KV,Eisenberg ER,Rastinehad AR,et al.Analysis of outcomes of single polypropylene mesh in total pelvic floor reconstruction[J].Neurourol Urodyn,2007,26(1):53-58. [12] Milani R,Salvatore S,Soligo M,et al.Functional and anatomical outcome of anterior and posterior vaginal prolapse repair with prolene mesh[J].BJOG,2005,112(1):107-111. [13] 陈娟,郎景和,朱兰,等.压力性尿失禁患者阴道黏膜的神经表达[J].中华妇产科杂志,2004,39(4):254-256. -
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