摘要目的 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.

abstractsObjective 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.