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目的:评价全盆底重建术治疗盆腔器官脱垂的临床疗效。方法:分析36例盆腔器官脱垂行全盆底重建术的临床资料,通过盆腔器官脱垂定量分期法评价解剖疗效,生活质量问卷评价功能疗效以及术后并发症情况。结果:本组36例,无血管、膀胱直肠、尿道损伤。其中2例患者术后出现尿潴留;术后出现尿频、尿急、排尿不尽3例;肛门坠胀感1例;补片侵蚀1例;术后新发性交痛及性交困难2例。解剖治愈率94.4%(34/36),患者主观满意度91.7%(33/36)。结论:网片盆底重建术用于盆腔器官脱垂的治疗安全有效,解剖恢复率高。有尿潴留、排尿不净、网片侵蚀、性交痛及性交困难等并发症,不容忽视。
Objective: To evaluate the clinical effect of pelvic floor reconstruction in the treatment of pelvic organ prolapse. Methods: The clinical data of 36 cases of pelvic organ prolapse undergoing pelvic floor reconstruction were analyzed. The anatomic efficacy was assessed by quantitative staging of pelvic organ prolapse. The functional quality of life quality questionnaire was evaluated and the postoperative complications were analyzed. Results: The group of 36 cases without vascular, bladder rectum, urethral injury. Two cases of postoperative urinary retention; postoperative urinary frequency, urgency, urination endless in 3 cases; anus dilatory sense in 1 case; patch erosion in 1 case; postoperative new onset of pain and sexual difficulties in 2 cases. The anatomic cure rate was 94.4% (34/36), and subjective satisfaction was 91.7% (33/36). Conclusion: The pelvic floor reconstruction for the treatment of pelvic organ prolapse is safe and effective, and the anatomic recovery rate is high. There are urinary retention, urinary net, mesh erosion, sexual intercourse pain and other complications of sexual difficulties, can not be ignored.