Prolift盆底重建术与传统手术治疗重度盆腔脏器脱垂患者的盆底功能恢复效果比较

Comparison of effects of Prolift pelvic floor reconstruction and traditional surgery on pelvic floor function recovery in patients with severe pelvic organ prolapse

目的:比较Prolift盆底重建术与传统手术治疗重度盆腔脏器脱垂患者的盆底功能恢复效果。方法:选取56例重度盆腔脏器脱垂患者为研究对象,按照随机数字表法分为对照组和观察组,每组28例,对照组行阴式子宫全切加阴道前后壁修补手术治疗,观察组实施Prolift盆底重建术治疗,比较两组围术期情况及盆底肌力情况。结果:两组手术均顺利完成,且无发生血管神经损伤、直肠损伤等。观察组术中出血量明显少于对照组,差异有统计学意义(P<0.05);手术时间短于对照组,差异有统计学意义(P<0.05);两组住院天数及术后排气恢复时间比较,差异均无统计学意义(P>0.05);观察组Ⅳ级盆底肌肉肌力例数多于对照组,差异有统计学意义(P<0.05)。结论:Prolift盆底重建术能较好的恢复重度盆腔脏器脱垂患者子宫脱垂和盆底肌肉功能,效果优于传统手术。

Objective: To compare clinical effects of Prolift pelvic floor reconstruction and traditional surgery on pelvic floor function recovery in patients with severe pelvic organ prolapse. Methods: 56 patients with severe pelvic organ prolapse were selected as the research objects, and were divided into control group and observation group according to the random number table method, 28 cases in each group. The control group underwent transvaginal total hysterectomy and anterior and posterior colporrhaphy, while the observation group underwent Prolift pelvic floor reconstruction. The perioperative conditions and pelvic floor muscle strength were compared between the two groups. Results: The surgeries of the two groups were successfully completed without vascular and nerve damages and rectal injury. The blood loss in the observation group was significantly less than that in the control group, and the difference was statistically significant(P<0.05). The operation time was shorter than that of the control group, and the difference was statistically significant(P<0.05). There were no significant differences in the hospital stay and postoperative exhaust recovery time between the two groups(P>0.05). There were more cases with pelvic floor muscle strength of IV level in the observation group than in the control group, and the difference was statistically significant(P<0.05). Conclusions: Prolift pelvic floor reconstruction can better restore the uterine prolapse symptoms and pelvic floor muscle function in the patients with severe pelvic organ prolapse. Moreover, its effect is better than that of traditional surgery.