中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2011年
9期
1194-1196,1199
,共4页
子宫脱垂/外科学
子宮脫垂/外科學
자궁탈수/외과학
Uterine prolapse/SU
目的 探讨适宜于阴道穹隆脱垂病人的手术方式.方法 回顾性分析2008年7月至2010年12月本院26例阴道穹窿脱垂病人的一般资料、盆腔器官脱垂(POP)-Q分期、发病时间、需再次手术治疗时间、围手术期和随访情况.结果 26例患者中因非女性盆底功能障碍( FPFD)行子宫全切术后穹隆脱垂者10例,其前次手术至此次发病时间(115.2±51.67)个月,距再次手术时间( 142.8±59.04)个月；因FPFD行传统修复手术后穹隆脱垂者16例,其前次手术至此次发病时间(24.38±13.43)个月,距再次手术时间(62.13±44.51)个月；两组年龄及POP-Q分期比较差异无统计学意义(P＞0.05),后者较前者复发时间(t =6.75,P＜0.01)和需再次手术治疗时间(t=3.97,P＜0.01)均明显提前.所有患者均由同一术者成功行Prolift全盆底重建术,手术时间(60.96±7.88) min,失血量(119.23±27.53)ml,无手术副损伤；术后随访治愈率100％,无网片侵蚀裸露发生及病例复发.结论 传统手术治疗POP易复发,Prolift全盆底重建术是治疗POP适宜的手术方法,尤其适用于阴道穹窿脱垂的病人,该手术安全可行,复发率低,能更好地修补缺陷、实现结构重建和组织替代,有利于病人康复.
目的 探討適宜于陰道穹隆脫垂病人的手術方式.方法 迴顧性分析2008年7月至2010年12月本院26例陰道穹窿脫垂病人的一般資料、盆腔器官脫垂(POP)-Q分期、髮病時間、需再次手術治療時間、圍手術期和隨訪情況.結果 26例患者中因非女性盆底功能障礙( FPFD)行子宮全切術後穹隆脫垂者10例,其前次手術至此次髮病時間(115.2±51.67)箇月,距再次手術時間( 142.8±59.04)箇月；因FPFD行傳統脩複手術後穹隆脫垂者16例,其前次手術至此次髮病時間(24.38±13.43)箇月,距再次手術時間(62.13±44.51)箇月；兩組年齡及POP-Q分期比較差異無統計學意義(P＞0.05),後者較前者複髮時間(t =6.75,P＜0.01)和需再次手術治療時間(t=3.97,P＜0.01)均明顯提前.所有患者均由同一術者成功行Prolift全盆底重建術,手術時間(60.96±7.88) min,失血量(119.23±27.53)ml,無手術副損傷；術後隨訪治愈率100％,無網片侵蝕裸露髮生及病例複髮.結論 傳統手術治療POP易複髮,Prolift全盆底重建術是治療POP適宜的手術方法,尤其適用于陰道穹窿脫垂的病人,該手術安全可行,複髮率低,能更好地脩補缺陷、實現結構重建和組織替代,有利于病人康複.
목적 탐토괄의우음도궁륭탈수병인적수술방식.방법 회고성분석2008년7월지2010년12월본원26례음도궁륭탈수병인적일반자료、분강기관탈수(POP)-Q분기、발병시간、수재차수술치료시간、위수술기화수방정황.결과 26례환자중인비녀성분저공능장애( FPFD)행자궁전절술후궁륭탈수자10례,기전차수술지차차발병시간(115.2±51.67)개월,거재차수술시간( 142.8±59.04)개월；인FPFD행전통수복수술후궁륭탈수자16례,기전차수술지차차발병시간(24.38±13.43)개월,거재차수술시간(62.13±44.51)개월；량조년령급POP-Q분기비교차이무통계학의의(P＞0.05),후자교전자복발시간(t =6.75,P＜0.01)화수재차수술치료시간(t=3.97,P＜0.01)균명현제전.소유환자균유동일술자성공행Prolift전분저중건술,수술시간(60.96±7.88) min,실혈량(119.23±27.53)ml,무수술부손상；술후수방치유솔100％,무망편침식라로발생급병례복발.결론 전통수술치료POP역복발,Prolift전분저중건술시치료POP괄의적수술방법,우기괄용우음도궁륭탈수적병인,해수술안전가행,복발솔저,능경호지수보결함、실현결구중건화조직체대,유리우병인강복.
Objective To explore the perfect operation method for patients with vaginal vault prolapse.Methods Twenty six patients with vaginal vault prolapse who underwent transvaginal mesh repair by Prolift from January 2008 to June 2010 were analyzed retrospectively.Results The interval time between the first operation and this morbidity of ten patients who had underwent total hysterectomy for none FPFD ( ie:hysteromyoma et al) was ( 115.2 ±51.67) months,but the interval of sixteen patients who had underwent traditional repair operation (ie:transvaginal hysteromyoma and/or colporrhaphia anterior-posterior) for FPFD was (24.38 ± 13.43) months,which was markedly shorter ( t =6.75,P ＜0.01).The interval time between the first operation and the 2nd operation of the ten patients was ( 142.8 ±59.04) months,but that of the sixteen patients was (62.13 ± 44.51 ) months,which was significantly shorter ( t =3.97,P ＜0.01 ).Their age and POP-Q staging had no difference ( P ＞0.05).All operations were successfully performed by one gynecologist.The average operation time was ( 60.96 ± 7.88 ) minutes,the average blood loss was ( 119.23 ±27.53) ml,and there was no concomitant injury.All patients were followed up of 3 ～24 months.No vaginal erosion and prolapse recurrence happened,and the cure rate was 100％.Conclusions The Prolift system appeared to be a relatively safe and effective alternative to conventional surgeries for the treatment of vaginal vault prolapse.However,long-term follow-up still need to be performed.
