郭红侠

[摘要] 目的 研究改良盆底重建手术对于女性盆腔脏器脱垂患者的作用与效果。方法 方便抽选该院接受并治疗的58例女性盆腔脏器脱垂病例，抽选时间为2017年8月—2019年8月，29例只接受传统盆底重建手术的为A组，29例接受改良盆底重建手术的为B组，观察比较其结果。结果 在治疗后，B组患者并发症的总发生率6.90%、住院时间（7.03±2.49）d对比A组患者27.59%、（11.87±2.09）d更低，差异有统计学意义（χ2=4.350，P=0.037;t=8.018，P=0.003<0.05）;在治疗后，B组患者手术时间、失血总量（59.85±11.68）min、（87.89±13.02）mL对比A组患者（64.38±12.95）min、（89.64±16.16）mL，差异无统计学意义（t=1.399，P=1.998;t=0.454，P=0.999 >0.05）。结论 对于女性盆腔脏器脱垂患者而言，改良盆底重建手术能够减短住院所需时间，并减少各类并发症的发生，建议临床推崇使用。

[关键词] 盆腔脏器脱垂;治疗;改良盆底重建手术;效果

[中图分类号] R713          [文献标识码] A          [文章编号] 1674-0742（2020）06（a）-0037-03

Safety and Feasibility of Pelvic Organ Prolapse in Women Treated with Improved Pelvic Floor Reconstruction

GUO Hong-xia

Department of Obstetrics and Gynecology， Fengxian Traditional Chinese Medicine Hospital， Fengxian， Jiangsu Province， 221700 China

[Abstract] Objective To study the effect and effect of improved pelvic floor reconstruction surgery on female patients with pelvic organ prolapse. Methods A total of 58 female patients with pelvic organ prolapse who were treated in the hospital were selected from August 2017 to August 2019. The 29 patients who underwent only convenient traditional pelvic floor reconstruction were Group A. 29 patients who underwent modified pelvic floor reconstruction surgery were in group B， and the results were compared. Results After treatment， the total complication rate of patients in group B was 6.90%， and the length of hospital stay was （7.03±2.49） d compared with 27.59% of patients in group A  （11.87±2.09） d is lower， the difference was statistically significant （χ2=4.350，P=0.037;t=8.018，P=0.003<0.05）; after treatment， the operation time and total blood loss of group B patients were （59.85±11.68） min， （87.89±13.02） mL compared with A Patients in the group （64.38±12.95） min  and （89.64±16.16） mL ， the difference was not statistically significant （t=1.399，P=1.998;t=0.454，P=0.999 >0.05）. Conclusion For women with pelvic organ prolapse， improved pelvic floor reconstruction surgery can shorten the time required for hospitalization and reduce the occurrence of various complications. It is recommended to use it clinically.

[Key words] Pelvic organ prolapse; Treatment; Improved pelvic floor reconstruction surgery; Effect

盆腔脏器脱垂指的是一种十分普遍的女性盆底功能障碍类疾病，好发于老年女性人群中，这类患者大多都是因为阴道支持组织出现缺损，使得生殖道发生膨出。对于盆腔脏器脱垂患者而言，其大多都会发生尿失禁、外阴流血、排便困难等方面的问题，危害到了女性平时的学习、生活等[1]。现阶段，临床中大多借助手术、非手术等有关的方法来对盆腔脏器脱垂患者进行治疗，非手术方法主要就包括了盆底功能训练、子宫托，在非手术治疗失效后，一般会借助手术进行治疗[2-3]。改良式盆底重建手术就是阴道后路悬吊手术，其无需对子宫进行切除，借助網片在盆底韧带之间牢固地进行缝合，提升了盆底组织所具有的支撑力，不但能够让盆底结构尽早获得恢复，还可以最大限度地保护好盆底功能[4]。……