加用网片的前盆底重建与骶韧带悬吊术与传统术式治疗盆腔器官脱垂的效果对比

摘要

Objective To compare the effect of mesh-utilizing anterior pelvic floor reconstruction and uterosacral liga-ment suspension (new operation) and traditional operation in the treatment of pelvic organ prolapse. Methods 120 pa-tients given pelvic organ prolapse operation treatment and treated in our hospital from September 2003 to August 2008 were selected as observation subjects,and they were divided into new operation group (44 cases) and traditional opera-tion group (76 cases) according to the operation method.Patients were followed-up after operation and patients’quality of life before operation and after 1,2,5,7 years operation was recorded.Pelvic floor distress inventory-short form 20 (PF-DI-20) was used to score for quality of life. Results There was no statistical difference of POPDI-6,CRADI-8 and PF-DI-20 score after 1,2,5,7 years operation between two groups 9 (P>0.05).POPDI-6 and PFDI-20 score after 7 years op-eration in traditional operation group was significantly lower than that before operation respectively,while the UDI-6 score after 5 years operation showed no statistical difference compared with that before operation (P>0.05).POPDI-6,U-DI-6 and PFDI-20 score of new operation group was obviously reduced after 7 years operation compared with before operation (P<0.05). Conclusion Both two operation can significantly improve patients’ quality of life,and the improve-ment of new operation is better than that of traditional operation,and it is promoted and applied in clinic.%目的：比较加用网片的前盆底重建与骶韧带悬吊术(新术式)与传统术式治疗盆腔器官脱垂的效果。方法选择2003年9月~2008年8月本院收治的盆腔器官脱垂手术治疗患者120例为观察对象，根据手术方式分为新术式组44例和传统术式组76例。术后随访，记录术前及术后1、2、5、7年患者的生命质量情况，采用盆底不适调查表短表20(PFDI-20)进行生命质量评分。结果两组术后1、2、5、7年的盆腔脏器脱垂症状调查表(POPDI-6)、结直肠肛门困扰量表(CRADI-8)及PFDI-20评分差异无统计学意义(P>0.05)。传统术式组术后7年的POPDI-6、PFDI-20评分比术前明显降低，排尿困扰量表(UDI-6)评分5年后与术前差异无统计学意义(P>0.05)。新术式组术后7年的POPDI-6、UDI-6、PFDI-20评分均比术前明显降低(P<0.05)。结论两种术式均可明显改善患者的生命质量，新术式改善程度优于传统术式，临床应推广应用。