腹腔镜下非网片植入术治疗盆底功能障碍临床研究

Clinical study of laparoscopic non mesh implantation for pelvic floor dysfunction

目的探讨腹腔镜下非网片植入术治疗盆底功能障碍患者的临床效果.方法对52例盆底功能障碍患者行腹腔镜下非网片植入术治疗,观察6个月.记录手术完成时间、术中出血量、尿管留置时间,随时记录盆腔感染、神经损伤等发生情况,比较手术前后盆底功能评估参数的变化;于手术前后采用盆底功能障碍问卷、盆底障碍影响简易问卷7评定患者的生活质量.结果本组患者均顺利完成手术,术后均无盆腔感染、神经损伤等发生,均未发现复发;术后6个月盆底功能评估参数各项指标均较手术前明显改善(P<0.01),术后6个月盆底功能障碍问卷、盆底障碍影响简易问卷7评分均较手术前显著下降(P<0.01).结论腹腔镜下非网片植入术治疗盆底功能障碍患者效果显著,安全性高,能显著提高患者术后生活质量,值得在临床推广应用.

Objective To investigate the effect of laparoscopic non mesh reconstruction for pelvic floor dysfunction. Methods 52 patients with pelvic floor dysfunction were selected and treated by laparoscopic non-mesh implantation, and observed for 6 months. Record the time of surgery completion, the amount of intraoperative blood loss, the time of urethral indwelling, and record the occurrence of pelvic infection and nerve injury at any time. Compare the changes in parameters of pelvic floor function evaluation before and after surgery. The quality of life of patients was assessed by PFDI-20 and PFIQ-7 before and after surgery. Results All the patients underwent surgery successfully. No postoperative pelvic infection or nerve injury occurred. No recurrence was found. At 6 months after operation, the parameters of pelvic floor function e-valuation parameters were significantly improved compared with those before operation (P<0. 01). The PFDI-20 and PFDI-20 scores were significantly lower than those before surgery (P<0. 01). Conclusions Laparoscopic non-mesh implantation of pelvic floor dysfunction repair has a better effect, can significantly improve the quality of life of patients, it is worthy of clinical application.