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目的:探讨补片在子宫切除术后阴道脱垂患者盆底功能重建手术中的应用效果。方法:在本院2014年10月-2015年7月诊治的子宫切除术后阴道脱垂患者中抽取73例作为研究对象,应用随机数字法将其分为观察组37例和对照组36例,观察组经阴道植入补片行盆底功能重建术治疗,对照组采取传统阴道壁修补治疗,比较两组患者治疗前后的盆底功能变化、并发症发生率以及客观治愈率。结果:观察组并发症发生率为8.11%,其客观治愈率是91.89%,对照组并发症发生率为19.44%,其客观治愈率是83.33%,差异具有统计学意义(P<0.05);观察组盆底影响问卷简表(PFIQ-7)评分低于对照组,差异具有统计学意义(P<0.05)。结论:补片在子宫切除术后阴道脱垂患者盆底功能重建手术中的应用效果确切,患者客观治愈率较高,并发症少,且盆底功能有明显改善。
Objective: To investigate the application effect of patch in pelvic floor reconstruction surgery of patients with vaginal prolapse after hysterectomy. Methods: Seventy-three patients with vaginal prolapse after hysterectomy diagnosed and treated in our hospital from October 2014 to July 2015 were divided into observation group (37 cases) and control group (36 cases) by random number method, The observation group was treated with pelvic floor reconstruction via vaginal implantation and the control group was treated with traditional vaginal wall repair. The changes of pelvic floor function, complication rate and objective cure rate were compared between the two groups before and after treatment. Results: The incidence of complications in the observation group was 8.11%. The objective cure rate was 91.89%. The incidence of complications in the control group was 19.44%. The objective cure rate was 83.33%. The difference was statistically significant (P <0.05). Group pelvic floor effect questionnaire (PFIQ-7) score lower than the control group, the difference was statistically significant (P <0.05). Conclusion: The application of patch in pelvic floor reconstruction in patients with vaginal prolapse after hysterectomy is effective. The objective cure rate is high, the complication is less, and pelvic floor function is obviously improved.