全盆底补片悬吊术治疗老年女性重度盆腔器官脱垂疗效观察

Effect of total pelvic floor reconstruction on older women with severe pelvic organ prolapse

目的探讨全盆底补片悬吊术治疗老年女性重度盆腔器官脱垂(POP)的临床效果。方法 90例重度POP患者分为2组,观察组46例采用Prolift系统进行全盆底补片悬吊术治疗,对照组44例采用传统手术方法治疗,比较2组患者的临床疗效。结果观察组患者手术时间、术中出血量、保留导尿管时间、住院时间和术后排气时间均显著少于对照组(P<0.01);观察组盆底功能影响问卷-7和盆底不适调查表-20评分显著低于对照组(P<0.05),但盆腔器官脱垂/尿失禁性生活质量问卷-12评分显著高于对照组(P<0.05)。结论全盆底补片悬吊术治疗老年女性重度POP疗效好,可以提供良好的盆底功能,且不良反应少,对患者的生活质量和性生活影响较小。

Objective To investigate the clinical effect of total pelvic floor reconstruction in the treatment of older women with severe pelvic organ prolapse（POP）.Methods Ninety patients with severe POP were divided into two groups,forty-six patients in observation group were treated with total pelvic floor reconstruction with Prolift system,while forty-four patients in control group were treated with traditional surgical method.The clinical effect was compared between two groups.Results The operation time,intraoperative bleeding,retention catheter time,length of stay and postoperative exhaust time in observation group were significantly less than those in control group（P〈0.01）.The scores of pelvic floor impact questionnaire-7 and pelvic floor distress inventory-20 in observation group were significantly lower than those in control group（P〈0.05）,but the score of pelvic organ prolaps/urinary incontinence sexual questionnaire-12 in observation group was significantly higher than that in control group（P〈0.05）.Conclusion Total pelvic floor reconstruction for the treatment of older women with severe POP is effective with good pelvic floor function,fewer adverse reactions and less impact on the patient′s quality of life and sexual life.