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目的探讨Campbell术联合阴道黏膜瓣悬吊术治疗中度前盆腔脏器脱垂中的效果。方法Ⅱ、Ⅲ度前盆腔脏器脱垂患者31例,年龄(61.9±7.6)岁,行Campbell术联合阴道黏膜瓣悬吊术。根据盆腔脏器脱垂分度(POP-Q)及盆腔障碍影响问卷(PFDI-20及PISQ-12)评分评估术后3~23个月内的临床效果。结果手术时间(70.3±15.4)min,术中出血量(48.4±36.8)ml;术后残余尿量(18.6±35.2)ml。31例均治愈。患者术后较术前阴道缩短[(6.55±0.54)cm vs.(6.94±0.35)cm](P<0.05)。患者术后生活质量较术前改善(P<0.05)。结论 Campbell术联合阴道黏膜瓣悬吊术是治疗中度前盆腔脏器脱垂安全、有效及微创的术式,术后近期疗效肯定。
Objective To investigate the effect of Campbell combined with vaginal mucosal flap suspension in the treatment of moderate anterior pelvic organ prolapse. Methods Thirty-one patients with pelvic organ prolapse before the method Ⅱ and Ⅲ degrees were aged (61.9 ± 7.6) years. The patients underwent Campbell’s surgery combined with vaginal mucosal flap suspension. The clinical effect of 3 to 23 months after operation was evaluated according to the questionnaire of pelvic organ prolapse degree (POP-Q) and pelvic disturbance (PFDI-20 and PISQ-12). Results The operation time (70.3 ± 15.4) min, intraoperative blood loss (48.4 ± 36.8) ml and postoperative residual urine volume (18.6 ± 35.2) ml. 31 cases were cured. Patients were shorter than preoperative vagina [(6.55 ± 0.54) cm vs. (6.94 ± 0.35) cm] (P <0.05). The postoperative quality of life of patients improved compared with that before operation (P <0.05). Conclusion Campbell combined with vaginal mucosal flap suspension is a safe, effective and minimally invasive surgical treatment of moderate anterior pelvic organ prolapse. The short-term curative effect is sure.