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目的:评价盆腔器官脱垂应用网片术后的疗效。方法:回顾分析2007年4月～2009年4月收住入院的盆腔器官脱垂病例24例(包括2例子宫切除术后穹窿脱垂,4例合并压力性尿失禁),应用网片盆底重建,评价术后各项客观和主观疗效。以POP-Q评分为客观疗效评价指标,以盆底功能障碍问卷(PFDI-20)为主观评价指标。结果:手术均顺利完成,术后恢复良好,无1例血管损伤、尿道损伤膀胱及直肠损伤。术后随访,无感染,无复发,无性生活障碍,补片侵蚀发生率8.33%,经治疗后好转,子宫脱垂复发2例。尿失禁、肛门坠胀感各1例,经治疗后症状消失。结论:网片用于盆腔器官脱垂的治疗安全,有效,术后并发症少,值得推广,仍需长期随访。
Objective: To evaluate the efficacy of pelvic organ prolapse after mesh surgery. Methods: A total of 24 cases of pelvic organ prolapse (including 2 cases of vault prolapse after hysterectomy and 4 cases of stress urinary incontinence) admitted to hospital from April 2007 to April 2009 were retrospectively analyzed. Reconstruction, evaluation of postoperative objective and subjective efficacy. The POP-Q score was used as the objective evaluation index and the pelvic floor dysfunction questionnaire (PFDI-20) as the subjective evaluation index. Results: All the operations were successfully completed and recovered well. There was no vascular injury or urinary tract injury in the bladder and rectum. Postoperative follow-up, no infection, no recurrence, asexual life disorders, patch erosion rate of 8.33%, after treatment, uterine prolapse recurrence in 2 cases. Urinary incontinence, anus bulge a sense of 1 case, the symptoms disappear after treatment. Conclusion: The mesh for pelvic organ prolapse treatment of safe, effective, less postoperative complications, it is worth promoting, still need long-term follow-up.