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目的探讨聚丙烯补片在老年妇女保留子宫全盆底重建术,治疗盆腔器官脱垂的效果及并发症。方法对15例盆腔多个部位缺陷的脏器脱垂、年龄均60岁以上患者行全盆底重建术。结果 15例患者术后恢复好,无感染发生。所有病例穿刺顺利,未见血肿,血管及脏器损伤。术后随访18个月,患者盆底结构正常,相关症状消失。结论全盆底网片悬吊术是治疗老年人、复杂型盆腔器官脱垂的微创手术。能实现全盆底解剖和功能重建。短期疗效稳定,长期疗效有待进一步观察。
Objective To investigate the effect and complications of polypropylene patch in preserving pelvic floor reconstruction of the uterus in elderly women and treating pelvic organ prolapse. Methods Fifteen cases of pelvic organ defect multiple organ prolapse, all patients over the age of 60 underwent pelvic floor reconstruction. Results 15 patients recovered well and no infection occurred. All cases puncture smooth, no hematoma, vascular and organ damage. After 18 months of follow-up, the pelvic floor was normal and the related symptoms disappeared. Conclusion The whole basin at the end of mesh suspension is the treatment of the elderly, complex pelvic organ prolapse minimally invasive surgery. To achieve the whole pelvic anatomy and functional reconstruction. Short-term efficacy and stability, long-term efficacy remains to be further observed.