[盆底重建术在盆腔脏器脱垂中的应用]盆腔脏器脱垂

　　[摘要] 目的 探讨盆底重建术治疗盆腔脏器脱垂的临床疗效。 方法 选择2009年1月~2011年7月我院收治的盆腔脏器脱垂患者62例，其中观察组32例行盆底重建组术，对照组30例行传统阴式手术，比较两组患者术中、术后指标以及随访期间POP-Q分期情况。 结果 观察组手术时间、术中出血量及术后住院时间均明显少于或短于对照组，差异有统计学意义（P ＜ 0.05）；观察组12个月治愈率为90.9%（20/22），明显高于对照组的63.2%（12/19），差异有统计学意义（P ＜ 0.05）。 结论 利用Prolift补片系统进行盆底修复，可在保留子宫的同时改善盆底功能，降低术后复发率。
　　[关键词] 盆腔脏器脱垂；盆底重建术；Prolift补片系统
　　[中图分类号] R713 [文献标识码] A [文章编号] 1673-7210（2012）04（a）-0079-02
　　
　　Application of pelvic floor reconstruction surgery in pelvic organ prolapse
　　LIU Jiayan WANG Xingdan ZHOU Guoping PANG Yi LI Meiying
　　Department of Gynecology, Yulin First People"s Hospital, Guangxi Zhuang Autonomous Region, Yulin 537000, China
　　[Abstract] Objective To investigate the curative effects of pelvic floor reconstruction surgery in the treatment of pelvic organ prolapse (POP). Methods 62 patients with POP admitted and treated in our hospital from January 2009 to July 2011 were selected, of which 32 patients of the observation group received pelvic floor reconstruction surgery and 30 patients of the control group received traditional vaginal surgery. The intraoperative and postoperative indicators and follow-up POP-Q stages of the two groups were compared. Results The operative time, intraoperative blood loss and postoperative hospital stay of the observation group were significantly less than or shorter than those of the control group, with statistically significant differences (P 　　1.2.3 传统手术 先行传统阴式子宫切除，打开阴道前壁，荷包或褥式缝合膀胱筋膜使其有效重叠，梭形部分切除黏膜并以可吸收线缝合，切开阴道后壁，荷包或褥式缝合直肠筋膜使膨出部分缩小，阴道下1/3处2~3针缝合肛提肌，部分切除黏膜后可吸收线缝合。
　　1.3 评价标准
　　于术后3、6、12个月来院复诊，并进行POP-Q分度评价有无复发，以POP-Q 0、Ⅰ度为客观治愈，Ⅱ度及以上为复发[3]。
　　1.4 统计学方法
　　采用SPSS 13.0软件包，计量资料数据以均数±标准差（x±s）表示，比较采用t检验，计数资料采用百分率表示，组间对比采用χ2检验。以P

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