改良全盆底重建手术在盆腔器官脱垂患者中的应用效果

Effect of Modified Total Pelvic Floor Reconstruction in Patients with Pelvic Organ Prolapse

目的 观察并分析对盆腔器官脱垂患者应用改良全盆底重建手术的治疗效果。方法 选择2021年8月至2023年4月驻马店市中医院妇产科收治的盆腔器官脱垂患者,共90例,以信封法均等分组。对照组(45例)接受传统全盆底重建术,观察组(45例)接受改良全盆底重建术。对比两组患者器官脱垂程度(Aa、Ba、C、D、Ap、Bp)、手术指标、盆底肌力水平(肌电位、动态张力、静态张力、收缩力)以及并发症发生率(尿失禁、尿潴留、性交痛及其他)。结果 (1)经对比,治疗后观察组Aa、Ba、C、D、Ap以及Bp指示点水平均优于对照组(P<0.05)。(2)治疗后观察组手术指标均优于对照组(P<0.05)。(3)治疗后观察组盆底肌力水平均较对照组升高(P<0.05)。(4)术后观察组尿失禁、尿潴留、性交痛以及其他并发症发生率为4.44%,低于对照组(20.00%)(P<0.05)。结论 对盆腔器官脱垂患者应用改良全盆底重建术,可显著改善其器官脱垂程度、手术指标以及盆底肌力水平,且安全性高,效果较传统全盆底重建术而言更为突出。

Objective To observe and analyze the therapeutic effect of modified total pelvic floor reconstruction in patients with pelvic organ prolapse.Methods A total of 90 patients with pelvic organ prolapse admitted to the Obstetrics and Gynecology Department of Zhumadian Hospital of Traditional Chinese Medicine from August 2021 to April 2023 were selected and divided equally by envelope method.Control group(45 cases)received traditional total pelvic floor reconstruction,and observation group(45 cases)received modified total pelvic floor reconstruction.The degree of organ prolapse(Aa,Ba,C,D,Ap,Bp),surgical indexes,pelvic floor muscle strength(potential,dynamic tension,static tension,contractile force)and the incidence of complications(urinary incontinence,urinary retention,pain during intercourse,etc.)were compared between the two groups.Results(1)After treatment,Aa,Ba,C,D,Ap and Bp indicated water in observation group were better than those in control group(P<0.05).(2)After treatment,the surgical indexes of observation group were better than those of control group(P<0.05).(3)After treatment,the pelvic floor muscle strength of observation group was higher than that of control group(P<0.05).(4)The incidence of urinary incontinence,urinary retention,dyspunia and other complications in observation group was 4.44%,which was lower than that in control group(20.00%)(P<0.05).Conclusion Modified total pelvic floor reconstruction can significantly improve the degree of organ prolapse,surgical indexes and pelvic floor muscle strength in patients with pelvic organ prolapse,with high safety and more prominent effects than traditional total pelvic floor reconstruction.