Prolift全盆底重建术治疗盆腔器官脱垂的疗效观察
| 作者: |
1赵敏,
1苏志英
1 厦门大学附属第一医院妇产科，福建 厦门361003 |
| 通讯: |
苏志英
Email: 15859266950@126.com |
| DOI: | 10.3978/j.issn.2095-6959.2013.03.005 |
摘要
目的：探讨Prolift全盆底重建术治疗盆腔器官脱垂的临床效果。方法：选择2009年9月至2012年3月厦门大学附属第一医院妇科76例盆腔器官脱垂患者行Prolift盆底重建术，观察手术时间、术中出血量、尿管留置时间等围术期指标；术后定期随访，以国际盆腔器脱垂定量分度法(Pelvic Organ Prolapse Quantification，POP-Q)分期作为客观疗效评价指标，同时观察有无并发症。结果：76例患者的手术时间 55~100 (70.15±14.32) min，术中出血量 70~150 (95.13±23.09) mL；尿管留置时间2~5 (3.37±1.08) d；2例患者1年后复发，5例出现补片侵蚀。随访时间6~36个月。结论：Prolif全盆底重建术在恢复盆底解剖结构的基础上实现盆底功能结构的恢复，补片在盆腔脏器脱垂手术中的应用虽有一定的术后并发症，但操作简单，疗效好，值得推广与应用。
关键词：
盆底器官脱垂；全盆底重建术；并发症
Therapeutic effect of Prolift on treating patients with pelvic organ prolapse
CorrespondingAuthor: SU Zhiying Email: 15859266950@126.com
DOI: 10.3978/j.issn.2095-6959.2013.03.005
Abstract
Objective: To evaluate the therapeutic effect of Prolift system on treatment of pelvic organ prolapse (POP). Methods: Clinical data of 76 patients with POP who underwent pelvic reconstruction operation with Prolift system in The First Affiliated Hospital of Xiamen University from Sep. 2009 to Mar. 2012 were analyzed retrospectively. Operative time, blood loss, and urine tube indwelling time were observed. The regular follow-up was done, Pelvic Organ Prolapse Quantification (POP-Q) installment was served as an objective index for curative effect evaluation. At same time, complications were observed. Results: Operation time, blood loss, and urine tube indwelling time patient with POP was (70.15±14.32) minutes, (95.13±23.09) mL and (3.37±1.08) d, respectively. All patients had been followed up for 6–36 months. Seventy-four patients were cured and 2 had a relapse. Five patients were mesh exposure and bladder perforation. Conclusion: Prolift system can achieve the recovery of function through the recovery of the anatomical structure. The method is simple, easy to operate, and worthy to be popularized and applied in clinic, though the system may bring some postoperative complications.