经阴道网片盆底重建术治疗盆底脏器脱垂患者临床疗效

摘要

目的 探讨经阴道网片盆底重建术治疗盆底脏器脱垂(pelvic organ prolapse,POP)患者的临床效果观察及安全性疗效.方法 选取2016年1月至2017年12月,河北省邯郸市中心医院118例POP患者的临床资料,按照术式不同分为2组,每组患者59例.对照组采用传统的手术方式进行治疗,试验组采用经阴道网片盆底重建术进行治疗.结果 试验组手术时间、术后首次下床活动及住院时间均短于对照组,差异有统计学意义(P＜0.05).试验组术中出血量与对照组比较比较,差异无统计学意义(P＞0.05).试验组术后有效率明显高于对照组,差异有统计学意义(P＜0.05).结论 经阴道网片盆底重建术是治疗POP患者有效、安全的术式,可显著改善患者的临床症状,但需严格按照手术适应症进行.%Objective To investigate the clinical effect and safety of transvaginal mesh pelvic floor reconstruction for pelvic organ prolapsed (POP).Methods A total of 118 female patients who underwent treatment for pelvic floor prolapse in Handan Central Hospital from January 2016 to December 2017 were selected.The study subjects were divided into the study group (n=59) and control group (n=59).The control group was treated with traditional surgical methods,and the study group was treated with transvaginal mesh pelvic floor reconstruction.Results The operation time,the first time to get out of bed after operation and the hospital stay after operation in the study group were shorter than those in the control group,and the differences were statistically significant (P＜0.05).There was no significant difference in intraoperative bleeding between the study group and the control group (P＞0.05).The effective rate of the study group after treatment was signifieantly higher than that of the control group (P＜0.05).Conclusion Transvaginal mesh pelvic floor reconstruction is an effective and safe way to treat POP,which can significantly improve the clinical symptoms of patients.However,the surgical indications should be strictly accommodated.