阴道前壁黏膜瓣悬吊联合尿道后韧带折叠术治疗前盆腔器官脱垂的临床研究

Clinical research of anterior vaginal mucosal flap suspension combined with posterior urethral ligament plication in the treatment of anterior pelvic organ prolapse

目的观察阴道前壁黏膜瓣悬吊联合尿道后韧带折叠术治疗前盆腔器官脱垂的疗效,为临床前盆腔器官脱垂治疗提供参考。方法 50例前盆腔器官脱垂患者,根据所采用的手术治疗方式不同将其分为阴道前壁黏膜瓣悬吊联合修补术组(对照组)与阴道前壁黏膜瓣悬吊联合尿道后韧带折叠术组(观察组),各25例。比较两组术后并发症发生率及主观治愈率。结果观察组并发症发生率4.00%低于对照组24.00%,观察组主观治愈率92.00%高于对照组64.00%,比较差异均有统计学意义(P<0.05)。结论阴道前壁黏膜瓣悬吊联合尿道后韧带折叠术治疗前盆腔器官脱垂患者,可降低手术对患者盆腔器官的损伤几率,降低并发症发生率,提高患者治愈率,具有较高的临床价值。

Objective To observe curative effect by anterior vaginal mucosal flap suspension combined with posterior urethral ligament plication in the treatment of anterior pelvic organ prolapse, and to provide clinical reference for anterior pelvic organ prolapse treatment.Methods A total of 50 anterior pelvic organ prolapse patients were divided by different operation way into anterior vaginal mucosal flap suspension combined with neoplasty group （control group） and anterior vaginal mucosal flap suspension combined with posterior urethral ligament plication group （observation group）, with 25 cases in each group. Incidence of complications and subjective cure rate were compared between the two groups.Results The observation group had lower incidence of complications as 4.00% than 24.00% of the control group, and its subjective cure rate was higher as 92.00% than 64.00% of the control group. Their differences all had statistical significance （P〈0.05）. Conclusion Combination of anterior vaginal mucosal flap suspension and posterior urethral ligament plication in treating anterior pelvic organ prolapse can reduce pelvic organs damage, incidence of complications, and improve cure rate in patients. This method contains highly clinical value.