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目的:评价疝补片填充阴道膀胱间隙治疗妇女盆腔脏器脱垂及压力性尿失禁的效果。方法:2004年12月-2005年12月就诊于佛山市南海区人民医院68例子宫脱垂中度以上患者,约60%患者合并不同程度的压力性尿失禁症状,全部行阴式子宫切除,其中35例(试验组)阴道前壁用补片修补,33例(对照组)用旧式阴道修补方式。结果:经过术后10个月随访,试验组成功率和复发率分别为100%,0,对照组为94%,6%,(P>0.05)。治疗压力性尿失禁有效率和无效率两组分别为99%,63%和4.5%,36%(P<0.05)。结论:应用疝补片治疗子宫脱垂不仅能加强盆底功能,防止复发,还能有效地改善压力性尿失禁的症状。
Objective: To evaluate the effect of hernia patch filling vaginal bladder space on pelvic organ prolapse and stress urinary incontinence in women. Methods: From December 2004 to December 2005, 68 patients with moderate or severe uterine prolapse were treated in Nanhai District People’s Hospital of Foshan City. About 60% of patients had different symptoms of stress urinary incontinence. All patients underwent vaginal hysterectomy, Among them, 35 cases (experimental group) were repaired with anterior vaginal wall, and 33 cases (control group) with old-style vaginal repair. Results: After 10 months of follow-up, the success rate and recurrence rate of the test group were 100%, 0, 94%, 6% of the control group (P> 0.05). The effective and ineffective rates of stress incontinence were 99%, 63%, 4.5%, 36%, respectively (P <0.05). Conclusion: The application of hernia patch in the treatment of uterine prolapse can not only strengthen the pelvic floor function, prevent recurrence, but also effectively improve the symptoms of stress urinary incontinence.