409例症状性盆腔器官脱垂手术患者基本情况及手术方式分析

Characteristics of 409 patients with symptomatic pelvic organ prolapse

目的探讨因症状性盆腔器官脱垂(pelvic organ prolapse,POP)接受手术治疗患者的年龄分布、基本情况和手术方式等特点。方法 2004年4月至2010年10月在本院因POP接受手术治疗的患者共409例,回顾性分析患者基本资料及手术相关资料。结果患者平均年龄(61.9±12.0)岁(28～89岁),体重指数(24.3±2.9)kg/m^2(16.3～35.6 kg/m^2),产次(2.2±1.2);手术患者合并高血压、糖尿病和冠心病分别为181例(44.3%),64例(15.6%)和46例(11.2%);93例(22.7%)因合并压力性尿失禁(SUI)同时接受抗尿失禁手术。结论本组患者年龄、体重指数及产次偏高,与既往研究相符。因症状性POP接受手术治疗的患者内科合并症较多,手术成功进行需多科合作。POP患者合并SUI者不容忽视,术前需仔细评估,必要时同时进行抗尿失禁手术。

Objective： To analyze the characteristics of the pelvic organ prolapse （POP） patients who underwent surgical treatment in Peking Union Medical College Hospital（PUMCH）. Methods： The medical data of 409 POP patients who were admitted in PUMCH from April 2004 to October 2010 were retrospectively analyzed. Results： The POP patients were at 61.9±12.0 years of age （28-89 years）, with mean body mass index （BMI） of 24. 3±2. 9 （16. 3-35. 6） and mean parity of 2. 2±1. 2. Of 409 patients, 181（44. 3%）, 64 （15.6 % ） and 46 （11.2 % ） had complications of hypertension, diabetes and cardiac disease, respectively. 93 patients （22.7%） who was complicated by stress urinary incontinence had a coinstantaneous anti-inconti- nence surgery. Conclusions： The POP patients in this study were at advanced age, with high BMI and parity, which is consistent with previous studies. The POP patients were complicated by many other problems including stress urinary incontinence, so careful pre-surgery evaluation is necessary. A coinstantaneous anti-incontinence surgery should be done when needed.