盆底重建术治疗子宫脱垂的临床研究

Clinical study of uterine prolapse treated by pelvic floor reconstruction

目的探讨应用盆底重建术治疗子宫脱垂的方法和疗效。方法回顾性分析我院收治的52例子宫脱垂患者的病例资料,所有患者随机分为两组,治疗组26例采用盆底重建术进行治疗,对照组26例采用阴道壁修补术加阴式子宫切除进行治疗。并对两组患者手术后的效果进行分析。结果治疗组的疗效、手术时间、住院时间、院内感染、复发率等方面都明显优于对照组,差异有统计学意义(P<0.05)。结论盆底重建术不但可保留患者的子宫且可以恢复患者的全盘底的功能和结构关系,手术恢复时间快,可以进行临床术式的推广。

Objective To discuss the method and effect of the treatment of pelvic floor reconstruction in dealing with uterine prolapse.Methods A retrospective analysis of 52 cases patients of uterine prolapse in our hospital with clinical data,all patients were randomly divided into two groups,26 cases of the treatment group were treated with pelvic floor reconstruction,the other 26 cases in control group,with vaginal wall repairment plus vaginal hysterectomy treatment.And to analyze the effect of the two groups after surgery.Results The efficacy of the treatment group was significantly higher than the control group,the former group took less time in the operation and hospital,infection and recurrence lower,and the former also reflected better than the latter in other aspects,the difference was statistically significant（P0.05）.Conclusion Pelvic floor reconstruction can not only retain the uterus,but also can completely restore the patients＇ function and structure,quickly recovered.It can be allowed to the promotion of clinical surgical procedures.