CAJ | 학술논문

目的评价改良盆底重建术和经阴全子宫切除(TVH)+阴道前后壁修补术治疗盆腔脏器脱垂的临床效果.方法研究组40例,包括研究1组(TVH+改良盆底重建术)20例,研究2组单行改良盆底重建术10例,研究3组(子宫切除术后POP行改良盆底重建术)10例;对照组40例.结果 ①手术时间、术中出血量、平均住院时间,术后保留尿管时间及术后并发症发生率研究1组与对照组无明显差异(P>0.05);②术后临床疗效比较:4组患者出院前测评POP Q,分度均为0度或Ⅰ度.术后对照组阴道长度较术前明显缩短,研究组阴道长度则较术前无明显变化(P<0.05)随访:研究组1例,复发率为2.5%,对照组4例复发(10%),(P<0.05);研究组3例出现性交不适,对照组7例诉性生活质量下降(P<0.05).结论改良的盆底重建术是治疗盆腔脏器脱垂的有效术式,加强盆底组织,手术简单、安全、微创.
목적 평개개량분저중건술화경음전자궁절제(TVH)+음도전후벽수보술치료분강장기탈수적림상효과.방법 연구조40례,포괄연구1조(TVH+개량분저중건술)20례,연구2조단행개량분저중건술10례,연구3조(자궁절제술후POP행개량분저중건술)10례;대조조40례.결과 ①수술시간、술중출혈량、평균주원시간,술후보류뇨관시간급술후병발증발생솔연구1조여대조조무명현차이(P>0.05);②술후림상료효비교:4조환자출원전측평POP Q,분도균위0도혹Ⅰ도.술후대조조음도장도교술전명현축단,연구조음도장도칙교술전무명현변화(P<0.05)수방:연구조1례,복발솔위2.5%,대조조4례복발(10%),(P<0.05);연구조3례출현성교불괄,대조조7례소성생활질량하강(P<0.05).결론 개량적분저중건술시치료분강장기탈수적유효술식,가강분저조직,수술간단、안전、미창.
Objective TO investigate the clinical results of improved pelvic floor reconstruction and TVH add vaginal anterior and posterior wall repair. Methods The study group including the first group consist of 20 TVH add improved pelvic floor reconstruction, the second group consist of 10 improved pelvic floor reconstruction and the third group consist of 10 improved pelvic floor reconstruction after hysterectomy. And 40 in the contrast group. Results ①The first group has no significant difference with the contrast group in operation time, blood loosing, hospital time, postoperative catheter retention time, and complication rate. ②The POP-Q indexings of 4 groups are all 0-1 degrees. The vaginal length of the contrast group are shortening preoperative to postoperative. But the study group has no significant difference. Following The first study group has 1 recurrence with the rate 2.5%,and the contrast group has 4 recurence with the rate 10%. There are 3 patients in study group with sexing discomfort and 7 in contrast group. Conclusion The improved pelvic floor reconstruction is the effective surgical method to treat pelvic organ prolapse which can strengthen the pelvic organ. The method is simple, safe and invasive.