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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(PelvicOrgan 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。
Objective: To investigate the clinical effect of Prolift pelvic floor reconstruction in the treatment of pelvic organ prolapse. Methods: From September 2009 to March 2012, Prolift pelvic floor reconstruction was performed in 76 patients with pelvic organ prolapse in the gynecology department of the First Affiliated Hospital of Xiamen University. The operative time, intraoperative blood loss, catheterization time and other perioperative periods were observed. The indexes of pelvic organ prolapse Quantification (POP-Q) staging were used as objective curative evaluation index, and the complication was observed at the same time. Results: The operation time of the 76 patients was 55 to 100 (70.15 ± 14.32) min, the intraoperative blood loss was 70 to 150 (95.13 ± 23.09) mL and the catheterization time was 2 to 5 (3.37 ± 1.08) days. Two patients, 1 Recurrent years later, patch erosion occurred in 5 cases. Follow-up time of 6 to 36 months. Conclusion: Prolif pelvic floor reconstruction can restore functional structure of pelvic floor on the basis of restoration of pelvic floor anatomy. The application of patch in pelvic organ prolapse has certain postoperative complications, but the operation is simple, Good effect, it is worth promoting and application.