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目的:探讨盆底重建手术应用于盆底功能障碍性疾病治疗的临床疗效。方法:2009年5月～2011年5月对收治的盆腔脏器脱垂患者采用改良盆底重建术治疗,并与采用骶棘韧带固定术治疗的对照组进行临床疗效对比。结果:研究组患者的手术时间较对照组明显缩短,而术中出血量则较对照组明显降低(t=6.38,P<0.05;t=10.25,P<0.05)。研究组的治愈率明显高于对照组(χ2=4.92,P<0.05);而研究组的复发率和性生活质量下降率较对照组明显下降(χ2=4.01,P<0.05;χ2=4.36,P<0.05)。研究组的保留尿管时间和并发症发生率与对照组比较无明显差异(P>0.05),而研究组的平均住院时间则较对照组缩短(t=4.27,P>0.05)。结论:改良盆底重建术治疗盆腔脏器脱垂性疾病具有操作简单、安全、易于推行、且损伤小、复发率低、并发症少的优点,值得临床推广。
Objective: To investigate the clinical effect of pelvic floor reconstruction in the treatment of pelvic floor dysfunction disease. Methods: From May 2009 to May 2011, pelvic organ prolapse was treated by modified pelvic floor reconstruction and compared with the control group treated with sacrospinous ligament fixation. Results: The operation time of the study group was significantly shorter than that of the control group, while the amount of bleeding during operation was significantly lower than that of the control group (t = 6.38, P <0.05; t = 10.25, P <0.05). The cure rate of the study group was significantly higher than that of the control group (χ2 = 4.92, P <0.05), while the study group’s recurrence rate and sexual life quality decline rate was significantly lower than that of the control group (χ2 = 4.01, P <0.05; P <0.05). There was no significant difference in the time of catheterization and complication between study group and control group (P> 0.05), while the average length of stay in study group was shorter than that of control group (t = 4.27, P> 0.05). Conclusions: Improved pelvic floor reconstruction for the treatment of pelvic organ prolapse has the advantages of simple operation, safety, easy to implement, small injury, low recurrence rate and few complications, which is worthy of clinical promotion.