Prolift全盆底重建术TVT-O治疗盆底功能障碍性疾病的疗效观察

The efficancy of transvaginal total Prolift Suspensory and combining with suspensory midst urethra in surgery therapy on pelvic floor dysfunctional

目的评价Prolift全盆底重建术联合TVT-O术在治疗功能障碍性疾病的有效性和安全性。方法对我院2009年4月至2011年10月收治的盆底功能障碍性疾病患者行Prolift全盆底重建术,合并压力性尿失禁患者同时行经闭孔尿道中段无张力悬吊术(TVT-O)。依据POP-Q评分结果及生活质量、性生活方面问卷调查评价手术效果。结果 11例手术效果良好,相关症状消失或改善。术后随访6-24个月,近期疗效满意。网片侵蚀1例、并发张力性尿失禁1例,无术后感染发生,术后生活质量改善明显(P<0.05),性生活质量术前术后无明显差异(P>0.05)。结论 Prolift全盆底重建并TVT-O术是一种安全有效的治疗方式。

【Objective】To evaluate the efficancy and safety of transvaginal total Prolift Suspensory and combining with suspensory midst urethra（tensiongfree vaginal tape-obtubrator,TVT-O） in surgery therapy on pelvic floor dysfuctional（PFD）.【Methods】Patients suffuered PFD were therapy by Prolift total pelvic floor reconstruction,combining stress urinary incontience were therapy by tension-free vaginal tape-obtubrator system in our hospital from April 2009 to October 2011.Evaluate to effectiveness of surgery according to POP-Q score,sexual life questionnaire and quality of life.【Resluts】There were no severe intraoperative complications in all 11cases,associated symptoms disappeared and improved.All the cases were followed up for 6 to 24 months after operation,the recent curative effects were satisfied.Mesh erosion happened in 1 case,1 case become SUI,and no case infection happened.All cases had significant improvement in quality of life（P0.05）.NO significant difference in sexual life after operation（P0.05）.【Conclusion】Prolift system combining TVT-O is a effective and safe treatment in PFD.