腹腔镜下高位骶韧带悬吊术与Gynecare Prolift骨盆底修复系统行盆底重建术治疗女性盆底功能障碍性疾病的效果

Curative Effects of Laparoscopic High Uterosacral Ligament Suspension and Gynecare Prolift Pelvic Floor Reconstruction in Treatment of Female Patients with Pelvic Floor Dysfunction Diseases

目的探讨腹腔镜下高位骶韧带悬吊术与Gynecare Prolift骨盆底修复系统行盆底重建术治疗女性盆底功能障碍性疾病的临床效果。方法将2016年9月—2019年9月收治的女性盆底功能障碍性疾病102例作为研究对象。根据手术方法不同分为研究组与对照组,每组51例。对照组行腹腔镜下高位骶韧带悬吊术,研究组用Gynecare Prolift骨盆底修复系统行盆底重建术。比较两组临床疗效、手术时间、术中出血量、术后排气时间以及手术前后盆底肌肉肌电生理指标变化,记录术后6个月内并发症情况。结果术后,研究组治疗总有效率高于对照组,F波波幅、F波传导速度均大于对照组(P<0.05,P<0.01)。研究组手术时间、术后排气时间均短于对照组,术中出血量、术后6个月内总并发症发生率小于对照组(P<0.05,P<0.01)。结论Gynecare Prolift骨盆底修复系统行盆底重建术可提高女性盆底功能障碍性疾病患者的临床疗效,缩短手术时间、减少术中出血量、改善肌电生理功能,促进恢复,减少术后并发症。

Objective To explore the clinical effect of laparoscopic high uterosacral ligament suspension(HUS)and Gynecare Prolift pelvic floor reconstruction in treatment of female patients with pelvic floor dysfunction diseases(PFDS).Methods A total of 102 female patients with PFDS admitted between September 2016 and September 2019 were enrolled as the research subjects,and the patients were divided into research group(n=51)and control group(n=51)according to different operative methods.Control group was treated with laparoscopic HUS,while research group was treated with Gynecare Prolift pelvic floor reconstruction.Clinical effect,operative duration,intraoperative volume of blood loss,postoperative exhaust time,and changes in electrophysiological indexes of pelvic floor muscle(PFM)before and after treatment were compared between two groups.Incidence rates of complications within 6 months after operation were recorded in both groups.Results After operation in research group,the total effective rate was significantly higher than that in control group(P<0.05),and amplitude and conduction velocity of F wave were significantly larger than those in control group(P<0.05,P<0.01).Compared with those in control group,operative duration and postoperative exhaust time were significantly shorter,and intraoperative volume of blood loss and the total incidence rate of complications within 6 months after surgery were significantly less in research group(P<0.05,P<0.01).Conclusion Gynecare Prolift pelvic floor reconstruction may improve the curative effect,shorten operative duration,reduce intraoperative volume of blood loss,improve electrophysiological function of muscle,promote recovery and reduce postoperative incidence rate of complications in treatment of female patients with PFDS.