全盆底重建术与传统阴式手术治疗盆腔脏器脱垂的效果

Effect of total pelvic floor reconstruction and traditional vaginal surgery on pelvic organ prolapse

目的研究全盆底重建术与传统阴式手术治疗盆腔脏器脱垂的效果。方法选择医院收治的盆腔脏器脱垂患者120例为研究对象,将其随机分为对照组(60例,传统阴式手术)与观察组(60例,全盆底重建术)。比较两组患者的治疗效果。结果观察组手术时间、留置尿管时间、平均住院时间均短于对照组,术中出血量少于对照组(P<0.05);手术后,观察组PFDI-20评分低于对照组(P<0.05);观察组术后并发症总发生率低于对照组(P<0.05)。结论对盆腔脏器脱垂患者实施全盆底重建术治疗,能够取得理想的效果,且安全性较高,值得推广应用。

Objective To study the effect of total pelvic floor reconstruction and traditional vaginal surgery on pelvic organ prolapse.Methods One hundred and twenty patients with pelvic organ prolapse were selected as the study objects and randomly divided into the control group(60 cases,traditional vaginal surgery)and observation group(60 cases,total pelvic floor reconstruction).The therapeutic effects of two groups were compared.Results The operation time,indwelling catheter time and average hospitalization time in the observation group were shorter than those in the control group,and the intraoperative bleeding volume in the observation group was less than that in the control group(P<0.05).After operation,the pelvic floor dysfunction score of the observation group was lower than that of the control group(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion Total pelvic floor reconstruction for pelvic organ prolapse patients can achieve ideal effect,and has high safety,which is worthy of popularization and application.