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目的探讨Prolift系统全盆底重建术在治疗盆腔脏器脱垂疾病中的应用价值及疗效。方法回顾性分析四川大学华西第二医院妇科2010年1月-2011年5月收治的119例盆腔脏器脱垂患者的临床资料,其中47例应用Prolift系统进行全盆底重建术(A组),51例应用曼氏手术治疗(B组),21例应用经阴道全子宫切除术+阴道前后壁修补术治疗(C组)。分析比较各组的临床近期疗效。术后随访1年。结果 A、B、C组在手术时间、术中出血量、术后安置尿管天数、术后住院天数间差异均无统计学意义(P>0.05)。A组1例、B组11例、C组4例复发,A组与B、C组复发率比较差异有统计学意义(P<0.05)。结论 Prolift系统全盆底重建术安全性高,不增加脏器损伤的几率,且明显降低了患者的术后复发率,近期疗效肯定,是治疗盆腔脏器脱垂的一种理想术式。
Objective To investigate the value and efficacy of Prolift system pelvic floor reconstruction in the treatment of pelvic organ prolapse disease. Methods The clinical data of 119 patients with pelvic organ prolapse admitted to Department of Gynecology, Huaxi Second Hospital of Sichuan University from January 2010 to May 2011 were retrospectively analyzed. Among them, 47 cases were treated with Prolift system for pelvic floor reconstruction (group A) , 51 cases were treated with Man’s operation (group B), and 21 cases were treated with vaginal hysterectomy + vaginal anterior and posterior wall repair (group C). Analyze and compare the clinical curative effect of each group. Follow-up for 1 year. Results There was no significant difference in operation time, intraoperative blood loss, days of postoperative ureteral catheterization and postoperative hospital stay among groups A, B and C (P> 0.05). One patient in group A, 11 patients in group B and 4 patients in group C relapsed. There was significant difference in relapse rate between group A and group B and C (P <0.05). Conclusions The Prolift system is a safe and effective procedure for pelvic floor reconstruction. It does not increase the risk of organ injury and significantly reduces the postoperative recurrence rate. Prolift has a positive curative effect in the near future. It is an ideal surgical method for the treatment of pelvic organ prolapse.