切除和保留子宫全盆底重建术式的疗效对比

Comparison of the Efficacy of Resection and Preservation of the Pelvic floor Reconstruction

目的:比较切除子宫与保留子宫全盆底重建术式对患者盆底功能恢复和生活质量改善的疗效。方法:本院行全盆底重建术的56例患者分成A、B两组,A组26例患者子宫切除,B组30例患者保留子宫。结果:术后与术前12个月POP-Q分度值评分和生活质量评分上,两组差异不显著(P>0.05),但两组组内比较差异显著(P<0.05)。结论:全盆底重建术保留子宫对患者损伤小,手术安全有效。两种手术治疗对患者盆底功能和生活质量的疗效基本无差异。

Objective： To compare the effect of hysterectomy and reservation of total pelvic floor reconstruction in patients with pelvic floor function recovery and quality of life improvement. Methods： 56 patients who underwent total pelvic floor reconstruction were divided into A, B two groups, A group of 26 cases of patients with hysterectomy, B group of 30 cases of patients with uterine. Results： 12 months after operation, the POP-Q score and the quality of life score were not significantly different between the two groups（P〉0.05）, but the difference between the two groups was significant（P〈0.05）. Conclusion： Total pelvic floor reconstruction is safe and effective for patients with small trauma. Two kinds of surgical treatment of patients with pelvic floor function and quality of life of the basic no difference.