改良全盆底重建术治疗重度盆腔脏器膨出的临床研究

Clinical Research on Improvement of the Pelvic Floor Revascularization for the Treatment of Patients With Severe Pelvic Viscera Bulging

目的分析改良全盆底重建术治疗重度盆腔脏器膨出疗效。方法选取20例重度盆腔脏器膨出,均采取改良全盆底重建术,分析其治疗效果。结果手术平均时间为(68.45±20.03)min,术中出血量平均为(105.34±40.09)ml,尿管留置时间平均为(5.09±1.12)d,住院时间平均为(5.33±1.45)d。术前阴道长度平均为(5.24±0.89)cm,术后为(6.46±1.43)cm,手术前后对比,差异具有统计学意义(P<0.05),未出现严重并发症。结论对重度盆腔脏器膨出采取改良全盆底重建术治疗,安全有效,具有临床应用价值。

Objective To analyze the improvement of the pelvic floor bulging revascularization treatment of severe pelvic viscera curative effect. Methods To select 20 cases of severe pelvic viscera bulging, improved the whole pelvic reconstructive approach was adopted, to analyze its therapeutic effect. Results The average operation time was （68.45±20.03） min, intraoperative blood loss is on average （105.34±40.09） ml, urine tube indwelling time averaged （5.09±1.12） d, in the hospital for an average of （5.33±1.45） d. Preoperative vaginal length on average （5.24±0.89） cm, postoperative （6.46±1.43） cm, have obvious difference before and after operation （P ＆lt; 0.05）, and does not appear heavy complications. Conclusion Severe pelvic viscera bulging improve the whole pelvic lfoor revascularization therapy, safe and effective, which has the clinical value of the application.