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目的对两种盆底重建术在临床治疗中的疗效进行分析。方法对于2007年1月至2013年3月临床治疗Ⅱ~Ⅳ盆腔脏器脱垂60例患者手术术后3个月、6个月、12个月、24个月的随访,其中36例传统阴式全子宫切除术加阴道前后壁修补术(传统组),24例经阴道全子宫切除术加改良盆底重建术(改良组)的对比,根据POP-Q分度法,Ⅱ度及Ⅱ度以上判定为复发。结果传统组3例(8.33%)复发,改良组无复发。传统组复发患者1例患者已死于其他疾病未治疗,1例经子宫托治疗,1例经改良式盆底重建术治疗,目前疗效满意。结论改良式盆底重建术作为治疗盆腔器官脱垂,尤其是治疗Ⅲ度以上盆腔器官脱垂的疗效比传统组手术更具优势,它能更好的修补缺陷,实现组织代替和结构恢复复发率低。
Objective To analyze the curative effect of two kinds of pelvic floor reconstruction in clinical treatment. Methods From January 2007 to March 2013, 60 patients with pelvic organ prolapse Ⅱ ~ Ⅳ were followed up for 3 months, 6 months, 12 months and 24 months after operation. Among them, 36 Hysterectomy plus vaginal anterior and posterior wall repair (conventional group), 24 cases of vaginal hysterectomy and modified pelvic floor reconstruction (modified group) comparison, according to the POP-Q indexing method, Ⅱ and Ⅱ degrees The above is judged as recurrence. Results The traditional group of 3 patients (8.33%) relapsed, the modified group without recurrence. One patient in the traditional group had died of no other disease, one was treated by pessary, and one was treated by modified pelvic floor reconstruction. The effect was satisfactory at present. Conclusions Modified pelvic floor reconstruction is an effective method to treat pelvic organ prolapse, especially for the treatment of pelvic organ prolapse above the third degree. Compared with the traditional operation, modified pelvic floor reconstruction has advantages over traditional surgery. It can better repair defects and achieve recurrence rate of tissue replacement and structural recovery low.