医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2015年
22期
3046-3047,3050
,共3页
盆底功能障碍%手术治疗%效果
盆底功能障礙%手術治療%效果
분저공능장애%수술치료%효과
Pelvic floor dysfunction%Surgery%Effects
目的：探讨盆底功能障碍性疾病手术治疗方式的选择。方法：回顾分析我院收治的70例盆底功能障碍性疾病患者的临床资料，根据其年龄，有无合并子宫肌瘤、卵巢肿瘤以及宫颈有无病变，有无内科合并症如高血压、糖尿病等，选择不同的手术方式，观察不同手术方式的治疗效果。结果：1例阴式子宫切除和阴道前后壁修补术后4个月复发，3例子宫悬吊术术后6个月复发。35例 Prolift 和 Prosima 手术患者手术时间、住院时间均明显短于阴式子宫切除和阴道前后壁修补，术后随访盆腔器官脱垂症状全部得以纠正，盆底结构基本正常，无1例复发。结论：根据患者的个体情况选择个体化的手术方式，新的网片支持系统手术为盆底疾病的治疗开辟了新的前景，Prosima 手术具有术时短、损伤小、恢复快的优点，值得临床推广。
目的：探討盆底功能障礙性疾病手術治療方式的選擇。方法：迴顧分析我院收治的70例盆底功能障礙性疾病患者的臨床資料，根據其年齡，有無閤併子宮肌瘤、卵巢腫瘤以及宮頸有無病變，有無內科閤併癥如高血壓、糖尿病等，選擇不同的手術方式，觀察不同手術方式的治療效果。結果：1例陰式子宮切除和陰道前後壁脩補術後4箇月複髮，3例子宮懸弔術術後6箇月複髮。35例 Prolift 和 Prosima 手術患者手術時間、住院時間均明顯短于陰式子宮切除和陰道前後壁脩補，術後隨訪盆腔器官脫垂癥狀全部得以糾正，盆底結構基本正常，無1例複髮。結論：根據患者的箇體情況選擇箇體化的手術方式，新的網片支持繫統手術為盆底疾病的治療開闢瞭新的前景，Prosima 手術具有術時短、損傷小、恢複快的優點，值得臨床推廣。
목적：탐토분저공능장애성질병수술치료방식적선택。방법：회고분석아원수치적70례분저공능장애성질병환자적림상자료，근거기년령，유무합병자궁기류、란소종류이급궁경유무병변，유무내과합병증여고혈압、당뇨병등，선택불동적수술방식，관찰불동수술방식적치료효과。결과：1례음식자궁절제화음도전후벽수보술후4개월복발，3례자궁현조술술후6개월복발。35례 Prolift 화 Prosima 수술환자수술시간、주원시간균명현단우음식자궁절제화음도전후벽수보，술후수방분강기관탈수증상전부득이규정，분저결구기본정상，무1례복발。결론：근거환자적개체정황선택개체화적수술방식，신적망편지지계통수술위분저질병적치료개벽료신적전경，Prosima 수술구유술시단、손상소、회복쾌적우점，치득림상추엄。
Objective :To investigate the choice of surgical in the treatment of pelvic floor dysfunction disease .Meth‐ods :Made a retrospective analysis of 70 cases with pelvic floor disorders ,different surgical approach were choosed ac‐cording to their age ,whether the merger of uterine fibroids ,ovarian tumors ,and the presence or absence of cervical le‐sions ,with or without medical complications such as hypertension ,diabetes ,then the efficacy were observed .Results :There was 1 patient treated by Transvaginal hysterectomy and vaginal wall repair ,which Relapsed after 4 months , there was 3 patients treated by Uterine suspension ,which Relapsed after 6 months ,there were 35 patients treated by Prolift or Prosima ,which operative time ,hospital stay were shorter than Transvaginal hysterectomy + vaginal wall re‐pair ,there were no patient relapsed during follow‐up ,and all symptoms of pelvic organ prolapse is corrected ,normal pelvic structures .Conclusion :The individualized Surgical approach were selected according to the patient’s individual situation ,new surgical mesh support system for the treatment of pelvic floor disorders has opened up new prospects , Prosima surgery is short operation ,little injury ,quick recovery ,worthy of promotion .
