摘要
目的观察聚丙烯补片结合全盆底重建术对盆腔脏器脱垂患者手术指标及术后复发情况等的影响效果。方法选取2018年9月至2020年9月在本院治疗的80例盆腔脏器脱垂患者作为研究对象,随机分为对照组(采用传统手术治疗)与研究组(采用聚丙烯补片结合全盆底重建术治疗),每组40例。观察两组患者的手术指标、创伤应激指标、胃肠功能和术后复发情况,并比较两组患者术后并发症发生情况。结果研究组手术时间短于对照组,术中出血量少于对照组,术后复发率低于对照组,差异有统计学意义(P<0.05)。术后第3天,研究组血清皮质醇(Cor)、促肾上腺皮质激素(ACTH)、去甲肾上腺素(NE)和肾上腺素(E)水平低于对照组,差异有统计学意义(P<0.05);研究组胃动素(MTL)、胃泌素(GAS)水平高于对照组,差异有统计学意义(P<0.05)。研究组并发症总发生率为5.00%,低于对照组的17.50%,差异有统计学意义(P<0.05)。结论聚丙烯补片结合全盆底重建术治疗盆腔脏器脱垂效果理想,能减轻创伤应激反应,改善胃肠功能,有效优化手术时间,减少术后复发情况,降低术后并发症发生率。
Objective To observe the effect of polypropylene mesh combined with total pelvic floor reconstruction on surgical indicators and postoperative recurrence of patients with pelvic organ prolapse.Methods A total of 80 patients with pelvic organ prolapse from September 2018 to September 2020 in authors’hospital were selected as research objects,and they were randomly divided into control group(treated with traditional surgery)and study group(treated with polypropylene mesh combined with total pelvic floor reconstruction),with 40 cases in each group.The operation indexes,traumatic stress indexes,gastrointestinal function and postoperative recurrence were observed in both groups,and the incidence of postoperative complications was compared between two groups.Results The operation time of the study group was significantly shorter than that of the control group,the amount of intraoperative bleeding was significantly less than that of the control group,and the postoperative recurrence rate was significantly lower than that of the control group(P<0.05).On the third day after operation,the levels of serum cortisol(Cor),adrenocorticotropic hormone(ACTH),norepinephrine(NE)and epinephrine(E)in the study group were significantly lower than those in the control group(P<0.05);the levels of motilin(MTL)and gastrin(GAS)in the study group were significantly higher than those in the control group(P<0.05).The total incidence of complications in the study group was 5.00%,which was significantly lower than 17.50%in the control group(P<0.05).Conclusion Polypropylene mesh combined with total pelvic floor reconstruction has an ideal effect in the treatment of patients with pelvic organ prolapse,which can reduce traumatic stress response,improve gastrointestinal function,effectively optimize the operation time,reduce postoperative recurrence,and reduce the incidence of postoperative complications.
作者
张晶晶
陈卫
Zhang Jingjing;Chen Wei(Laoling City Maternal and Child Health Hospital of Dezhou City in Shandong Province,Dezhou 253600,China)
出处
《实用妇科内分泌电子杂志》
2021年第23期24-27,共4页
Electronic Journal of Practical Gynecological Endocrinology
关键词
盆腔脏器脱垂
聚丙烯补片
全盆底重建术
手术指标
复发率
Pelvic organ prolapse
Polypropylene mesh
Total pelvic floor reconstruction
Operation indicators
Recurrence rate
