目的 探讨prolift全盆底重建术治疗重度盆腔器官脱垂的临床疗效.方法 运用prolift盆底修复装置为盆腔器官脱垂定量(POP-Q)分度为Ⅲ-Ⅳ度的19例患者行全盆底重建术,观察手术时间、术中出血量、住院时间等围术期指标,术后1、6、12个月定期随访,以POP-Q分度为客观疗效评价指标,同时观察有无手术并发症发生.结果 prolift全盆底重建术手术时间(82.4±5.3)min、出血量(128.2±53.3)mL、术后留置尿管时间(3.28±0.74)d、住院时间(3.8±2.2)d.手术解剖学成功率100%,术前与术后POP-Q值相比差异有统计学意义(P＜0.01).未见膀胱、直肠、大血管、神经损伤,未见网片侵蚀、术后感染病例发生.结论 prolift全盆底重建术是治疗重度盆腔器官脱垂的安全、有效术式,远期疗效有待进一步观察.%Objective To study the effect of pelvic floor reconstruction with prolift system on severe pelvic organ prolapse. Methods Nineteen patients with pelvic organ prolapse at stage of Ⅲ-Ⅳ classified by the pelvic organ prolapse quantitative examination (POP-Q) underwent prolift total pelvic floor reconstruction. Operative time, blood loss, length of hospital stay and operative complications were recorded. Regular follow-up was performed 1,6 and 12 months after operation. Results The operation time, blood loss, length of postoperative indwelling urinary catheters and length of hospital stay were (82. 4±5. 3) minutes, (128. 2 ± 53. 3)mL,(3. 28 ± 0. 74)days and (3. 8 ± 2. 2) days, respectively. The anatomical success rate of the surgery was 100% and there was a significant difference between preoperative POP-Q measurements and postoperative POP-Q measurements (P<0. 01). No patients had impairment of bladder, rectum, great vessels and nerves,mesh erosion, and postoperative infection. Conclusion Total pelvic floor resconstru-tion with prolift system is an effective and safe treatment for severe pelvic organ prolapse,but the long-term effects needs further study.
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