盆底重建术治疗盆腔器官脱垂临床研究

Clinical study on pelvic reconstruction surgery in the treatment of pelvic organ prolapsey

目的探索盆底重建手术治疗盆腔器官脱垂（POP）的临床疗效。方法选择POP患者18例，行盆底重建手术，记录患者围手术期情况，于术后3、6个月对患者进行门诊随访，测量患者POP—Q各指示点位置，通过盆底功能影响问卷简表（PFIQ-7）和中国女性生活质量问卷，评估患者手术前后生命质量和性生活质量改善情况。结果盆底重建术手术时间（90．0±13．2）min，术中出血量（30．0±1．2）ml，18例患者均获随访，客观治愈率100％。术前、术后PFIQ-7评分差异有统计学意义（P〈0．01），性生活质量评分差异无统计学意义（P〉0．05）。网片侵蚀发生率为0，无新发尿失禁和新发性交痛患者。结论盆底重建术治疗POP，疗效安全可靠，可以明显改善患者的生命质量，对性生活质量无明显影响。

Objective To study the efficacy of pelvic reconstruction surgery in the treatment of pelvic organ prolapsey（POP）. Methods 18 patients with POP underwent pelvic reconstruction surgery were selected. Clinical pa- rameters during peri-operation were recorded. After 3 months and 6 months ,pelvic organ prolapse quantitative exami- nation（POP-Q） and anatomic improvement in these patients were analyzed. Comparisons of pelvic floor distress im- pact questionnaire short form 7 （PFIQ-7） and quality of sexual life of chinese women questionnaire in these patients before and after surgery were used to evaluate quality of life and quality of sexual life. Results Median operation time was （90.0 ± 13.2） minutes and median blood loss was （30.0 ±1.2）ml,all the patients were followed. The objective cure rate was 100%. The mean score of post-operative PFIQ-7 were significantly lower than those of pre-operation （P 〈 0. 01 ）, and those of qualify of sexual life of chinese women questionnaire was no significantly difference （ P 〉 0. 05 ）. The rate of mesh crosion was 0, and there was no case of de novo urinary incontinence and de novo dyspareunia. Conclusion Pelvic reconstruction surgery is a safe and efficacious management. It can improve qualify of life remarkably and have no influence on sexual quality of life.