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目的探讨前盆底重建术在女性盆腔器官脱垂中的临床疗效。方法对85例本院收治的盆腔器官脱垂Ⅱ~Ⅳ期的患者行前盆底重建术。分析术后患者恢复情况、临床疗效及并发症,随访其复发率及生活满意度。结果患者手术时间为(90.2±5.6)min,术中出血(120.2±20.5)mL,术后平均住院时间7.1 d,85例患者手术均获得成功。患者术后主观评分明显高于术前,无复发患者。术后出现血肿3例,会阴疼痛4例,补片侵蚀6例,经积极治疗后均缓解。结论前盆底重建术可有效治疗前盆腔脏器脱垂,远期疗效待进一步探讨。
Objective To investigate the clinical effect of anterior pelvic floor reconstruction in female pelvic organ prolapse. Methods 85 cases of pelvic organ prolapse in our hospital from Ⅱ to Ⅳ were treated with pelvic floor reconstruction. Analysis of postoperative recovery, clinical efficacy and complications, follow-up of its recurrence rate and life satisfaction. Results The operation time was (90.2 ± 5.6) min, the intraoperative bleeding was (120.2 ± 20.5) mL and the average postoperative hospital stay was 7.1 days. The operation of 85 patients was successful. The postoperative subjective score of patients was significantly higher than that of patients without recurrence. Postoperative hematoma occurred in 3 cases, 4 cases of perineal pain, patch erosion in 6 cases, after active treatment were relieved. Conclusions Anterior pelvic floor reconstruction can effectively treat anterior pelvic organ prolapse. The long-term effect is to be further explored.