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目的探讨改良盆底重建治疗盆腔脏器脱垂临床效果。方法回顾分析102例患者的临床资料。结果治疗经过顺利,出院前POP-Q分度均为0度或1度,达到治愈标准,术后住院天数2~15d,患者阴道前壁脱垂全部得到纠正。随访1年均未出现复发,有效率100%;无膀胱、尿道的损伤发生,无出血、血肿、血管损伤及神经损伤等手术并发症。结论改良盆底重建术具有以下优点:手术操作简单安全,不进入腹腔,微创,对肠道干扰少,患者住院时间短,并发症少,保留子宫,减轻患者心理负担,提高了生活质量。
Objective To explore the clinical effect of modified pelvic floor reconstruction for pelvic organ prolapse. Methods The clinical data of 102 patients were retrospectively analyzed. Results After treatment, the POP-Q index before discharge was 0 degrees or 1 degree, which reached the standard of cure. The postoperative hospitalization days were 2 ~ 15 days, and all the anterior vaginal wall prolapse were corrected. No follow-up 1 year recurrence, the effective rate of 100%; no bladder, urethral injury, no bleeding, hematoma, vascular injury and nerve injury and other surgical complications. Conclusions Improved pelvic floor reconstruction has the following advantages: simple and safe operation, no invasion into the abdominal cavity, minimal invasion, less disturbance to intestine, shorter hospitalization time, less complications, retention of the uterus, alleviation of patients’ psychological burden and improvement of quality of life.