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目的探究阴道前壁黏膜瓣自体悬吊术对盆腔脏器脱垂患者盆底障碍功能改善的影响。方法选取该院2014年1月-2016年5月收治的40例盆腔脏器脱垂患者为研究对象,采用随机数字表法将其分为对照组和研究组,每组20例。对照组行传统阴道前壁修补术,研究组实施阴道前壁黏膜瓣自体悬吊术,比较两组患者临床数据、盆底功能障碍恢复情况及并发症。结果研究组临床数据显著优于对照组(P<0.05);术前盆腔器官脱垂困扰量表(POPDI-6)、排尿困扰量表(UDI-6)及结直肠肛门困扰量表(CARDI-8)评分比较,差异无统计学意义(P>0.05),术后1周均显著降低,研究组显著低于对照组(P<0.05),且研究组并发症发生率(5.00%)显著低于对照组(35.00%),差异有统计学意义(P<0.05)。结论阴道前壁黏膜瓣自体悬吊术创伤小,可有效促进盆腔脏器脱垂患者盆底功能恢复,安全性高,具有临床推广价值。
Objective To investigate the effect of vaginal anterior mucosal flap autologous suspension on pelvic floor dysfunction in patients with pelvic organ prolapse. Methods Forty patients with pelvic organ prolapse who were treated in our hospital from January 2014 to May 2016 were selected as the research objects. They were divided into control group and study group by random number table method, with 20 cases in each group. The control group received traditional vaginal anterior wall repair, and the research group performed vaginal anterior wall mucosal flap autologous suspension. The clinical data, pelvic floor dysfunction recovery and complication were compared between the two groups. Results The clinical data of the study group were significantly better than those of the control group (P <0.05). The POPDI-6, UDI-6 and CARDI- There was no significant difference between the two groups (P> 0.05). The postoperative 1 week was significantly lower in the study group than in the control group (P <0.05), and the complication rate in the study group was 5.00% In the control group (35.00%), the difference was statistically significant (P <0.05). Conclusions Autologous vaginal mucosal flap trauma is small, which can effectively promote pelvic floor functional recovery in patients with pelvic organ prolapse. It is safe and has clinical value of popularization.