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目的探讨人工合成补片盆底重建手术治疗盆腔脏器脱垂的临床效果。方法选取2009—2010年于景德镇市第二人民医院收治的盆腔脏器脱垂(POP)患者100例。根据患者意愿分为研究组52例与对照组48例。研究组患者使用人工合成补片行盆底重建修复手术治疗,对照组患者使用子宫切除联合阴道前后壁修补治疗。比较两组患者临床指标(出血量、手术时间、术后体温、肛门排气时间、尿管留置时间、抗生素应用时间、住院时间)、不同部位POP-Q量化值、临床疗效及并发症发生情况。结果研究组患者出血量少于对照组,手术时间、肛门排气时间、尿管留置时间、抗生素应用时间、住院时间短于对照组,术后体温低于对照组(P<0.05)。研究组Ap、Ba、Bp、C点POP-Q量化值优于对照组(P<0.05)。研究组术后3个月、6个月、12个月治愈率高于对照组(P<0.05)。研究组术后并发症低于对照组(P<0.05)。结论人工合成补片盆底重建手术治疗POP的临床效果确切,可有效缩短POP患者治疗时间,减少术中出血量,且并发症少。
Objective To investigate the clinical effect of synthetic pelvic floor reconstruction surgery for pelvic organ prolapse. Methods One hundred patients with pelvic organ prolapse (POP) who were admitted to the Second People ’s Hospital of Jingdezhen from 2009 to 2010 were selected. According to the wishes of patients divided into study group 52 cases and control group 48 cases. Patients in the study group were treated by artificial pelvic reconstruction with pelvic floor reconstruction. Patients in the control group were treated with hysterectomy and vaginal anterior and posterior wall repair. Clinical indexes (amount of bleeding, operation time, postoperative body temperature, anal exhaust time, catheter indwelling time, antibiotic application time and hospital stay), quantification of POP-Q in different parts, clinical efficacy and complications were compared between the two groups . Results The bleeding volume of study group was less than that of control group. The operation time, anal exhaust time, catheter indwelling time, antibiotic application time and hospital stay were shorter than those in control group. The postoperative body temperature was lower than that of control group (P <0.05). The POP-Q quantification values of Ap, Ba, Bp, C in research group were better than those in control group (P <0.05). The cure rate of the study group at 3 months, 6 months and 12 months after operation was higher than that of the control group (P <0.05). The postoperative complications in the study group were lower than those in the control group (P <0.05). Conclusion The synthetic pelvic floor reconstruction surgery for the treatment of POP has the exact clinical effect, which can effectively shorten the treatment time of POP patients, reduce the amount of intraoperative bleeding, and less complications.