摘要
目的:探讨经阴道生物网片置入盆底重建术治疗盆腔器官脱垂的近期疗效。方法:以2021年1月至2022年8月在乌兰察布市中心医院进行手术治疗的50例盆腔器官脱垂患者为研究对象,将其中行经阴道子宫切除术及阴道前后壁黏膜切除加强缝合术的患者设为对照组(25例),将行经阴道网片置入盆底重建术的患者设为观察组(25例),两组患者术后均随访6个月。比较两组的治愈率及各项临床指标。结果:(1)观察组的手术时间短于对照组,术中失血量少于对照组,治愈率高于对照组,差异有统计学意义(P<0.05)。(2)术前,两组的盆腔器官脱垂定量评价系统(POP-Q)分级相比,差异无统计学意义(P>0.05);与术前相比,术后6个月两组的POP-Q分级均有所改善,且观察组的改善幅度优于对照组,差异有统计学意义(P<0.05)。(3)术前,两组的生活质量评分相比,差异无统计学意义(P>0.05);与术前相比,术后6个月两组的各项生活质量评分均呈上升趋势,且观察组升高更明显,差异有统计学意义(P<0.05)。(4)术后随访6个月发现,观察组的病情复发率为0.00%,对照组的病情复发率为16.00%,二者相比差异有统计学意义(P<0.05)。结论:经阴道生物网片置入盆底重建术可有效缓解患者盆腔器官脱垂的程度,提高生活质量,降低病情复发率,近期疗效显著。
Objective:To investigate the short-term effect of pelvic floor reconstruction with transvaginal biomesh implantation in the treatment of pelvic organ prolapse.How:A total of 50 patients with pelvic organ prolapse who underwent surgical treatment in Ulanqab Central Hospital from January 2021 to August 2022 were selected as the study objects.The patients who underwent transvaginal hysterectomy and resection of anterior and posterior vaginal mucosa with enhanced suture were selected as the control group(25 cases),and the patients who underwent transvaginal mesh implantation of pelvic floor reconstruction were selected as the observation group(25 cases).Both groups were followed up for 6 months.The cure rate and clinical indexes of the two groups were compared.Results:(1)The operation time of observation group was shorter than that of control group,the intraoperative blood loss was less than that of control group,and the cure rate was higher than that of control group,the difference was statistically significant(P<0.05).(2)Before surgery,there was no significant difference between the two groups in the Quantitative Evaluation System(POP-Q)grading of pelvic organ prolapse(P>0.05);The POP-Q grades of both groups were improved 6 months after surgery,and the improvement of observation group was better than control group,the difference was statistically significant(P<0.05).(3)Before surgery,there was no significant difference in quality of life scores between the two groups(P>0.05);Compared with the preoperative results,the quality of life scores of both groups showed an increasing trend 6 months after surgery,and the increase was more obvious in the observation group,with statistical significance(P<0.05).(4)After 6 months of follow-up,the recurrence rate was 0.00%in the observation group and 16.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion:Transvaginal biomesh implantation of pelvic floor reconstruction can effectively alleviate the degree of pelvic organ prolapse,improve the
作者
武飞
WU Fei(Department of Urology,Ulanqab Central Hospital,Ulanqab 012000,Inner Mongolia,China)
基金
内蒙古自治区乌兰察布市科学技术局研究项目,编号:2021JC308。
关键词
经阴道网片置入盆底重建术
盆腔器官脱垂
近期疗效
生活质量
pelvic floor reconstruction with transvaginal mesh implantation
Pelvic organ prolapse
Short-term efficacy
Quality of life
