中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2010年
37期
2620-2624
,共5页
邓文慧%吕秋波%魏风华%申桂华%孟庆伟%伍凤莉%李寒松%姜展红%梁琳%亢长英%吕艾明%张毅
鄧文慧%呂鞦波%魏風華%申桂華%孟慶偉%伍鳳莉%李寒鬆%薑展紅%樑琳%亢長英%呂艾明%張毅
산문혜%려추파%위풍화%신계화%맹경위%오봉리%리한송%강전홍%량림%항장영%려애명%장의
盆腔器官脱垂%个体化%阴道%妇科外科手术
盆腔器官脫垂%箇體化%陰道%婦科外科手術
분강기관탈수%개체화%음도%부과외과수술
Pelvic organ prolapse (POP)%Individuation%Vagina%Gynecological operation
目的 评价老年妇女前盆腔器官脱垂行个体化经阴道手术治疗的安全性及疗效,为个体化盆腔重建手术对老年妇女生活质量的研究提供临床基础.方法 90例60岁以上前盆腔器官脱垂患者即个体化组,行个体化经阴道手术,观察手术安全性、疗效及泌尿、盆底功能生活质量的改变.并与同期对照组60例60岁以上前壁脱垂患者,经传统Kelly-Kennedy修补术进行比较.结果 老年妇女前盆腔器官脱垂行个体化经阴道手术治疗安全,术后恢复快,疗效好,复发率低(P＜0.05),生活质量高(P＜0.05).结论 老年妇女前盆腔器官脱垂行个体化经阴道手术疗效显著,术后生活质量明显提高.
目的 評價老年婦女前盆腔器官脫垂行箇體化經陰道手術治療的安全性及療效,為箇體化盆腔重建手術對老年婦女生活質量的研究提供臨床基礎.方法 90例60歲以上前盆腔器官脫垂患者即箇體化組,行箇體化經陰道手術,觀察手術安全性、療效及泌尿、盆底功能生活質量的改變.併與同期對照組60例60歲以上前壁脫垂患者,經傳統Kelly-Kennedy脩補術進行比較.結果 老年婦女前盆腔器官脫垂行箇體化經陰道手術治療安全,術後恢複快,療效好,複髮率低(P＜0.05),生活質量高(P＜0.05).結論 老年婦女前盆腔器官脫垂行箇體化經陰道手術療效顯著,術後生活質量明顯提高.
목적 평개노년부녀전분강기관탈수행개체화경음도수술치료적안전성급료효,위개체화분강중건수술대노년부녀생활질량적연구제공림상기출.방법 90례60세이상전분강기관탈수환자즉개체화조,행개체화경음도수술,관찰수술안전성、료효급비뇨、분저공능생활질량적개변.병여동기대조조60례60세이상전벽탈수환자,경전통Kelly-Kennedy수보술진행비교.결과 노년부녀전분강기관탈수행개체화경음도수술치료안전,술후회복쾌,료효호,복발솔저(P＜0.05),생활질량고(P＜0.05).결론 노년부녀전분강기관탈수행개체화경음도수술료효현저,술후생활질량명현제고.
Objective To identify the safety and efficacy of individualized vaginal surgery for anterior pelvic organ prolapse (POP) in elderly women so as to provide a clinical basis for studies on improving life quality by treatment in elderly women. Methods The individuaation group consisted of 90patients with a diagnosis of anterior POP. All over 60 years old, they underwent individualized vaginal surgery. The safety and efficacy, POP quantitative examination POP-Q change, cure and recurrence rate and life quality scores on incontinence and pelvic floor distress and impact were assessed. The control group ( n = 60) was composed of patients ( ＞ 60 yr old ) with a diagnosis of anterior POP were performed with Kelly-Kennedy operation. Their safety, efficacy, cure and recurrence rates were compared. Results Individualized vaginal surgery in elderly women was both safe and effective. The post-therapeutic recovery time was shorter(P ＜ 0. 05 ), the cure rate higher and the recurrence rate lower( P ＜ 0. 05 )than that of control group. The life quality after individualized surgery improved (P＜0.01 ). Conclusion The individualized vaginal surgery is safe and effective for a correction of anterior POP in elderly women. The life quality improves after operation.
