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目的评价PROSIMA盆底修复系统治疗中度盆腔脏器脱垂的临床效果。方法中度盆腔脏器脱垂患者30例,行PROSIMA系统的盆底重建术。根据POP-Q分度及PFIQ-7问卷分析术后6个月内的临床效果。结果 POP-Q评估:30例患者均治愈。2例(6.67%)发生网片暴露。术后21d取出阴道支撑装置,阴道分泌物培养大肠埃希菌阳性6例,光滑假丝酵母菌阳性1例,奇异变形杆菌阳性1例。术后性生活满意。结论 PROSIMA盆底修复系统是治疗中度盆腔脏器脱垂的安全、有效及微创术式;但术后阴道感染是一个值得注意的问题。
Objective To evaluate the clinical effect of PROSIMA pelvic floor repair system in the treatment of moderate pelvic organ prolapse. Methods Thirty patients with moderate pelvic organ prolapse underwent PROSIMA pelvic floor reconstruction. According to POP-Q indexing and PFIQ-7 questionnaire analysis of clinical outcomes within 6 months after operation. Results POP-Q assessment: 30 patients were cured. 2 cases (6.67%) occurred mesh exposure. Vaginal support devices were removed 21 days after operation, 6 were Escherichia coli positive for vaginal secretions, 1 was Candida glabrata, and 1 was positive for Proteus mirabilis. Satisfactory sexual life after surgery. Conclusion PROSIMA pelvic floor repair system is a safe, effective and minimally invasive surgical treatment of moderate pelvic organ prolapse. But postoperative vaginal infection is a problem worth noting.