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目的通过病例研究,探讨经阴道髂尾肌筋膜固定术在盆腔器官脱垂(POP)中的临床价值。方法以2014年1月-2015年12月期间2院收治的48例以经阴道髂尾肌筋膜固定术在治疗POP的患者为研究对象,回顾性分析手术经过及疗效。结果 48例患者手术出血量平均(104.2±14.2)ml,时间平均(105.4±25.2)min;术中无副损伤。术后排气时间平均(8.5±2.7)h,残余尿量平均(32.10±3.65)ml。术后无出血、感染及心脑血管意外等并发症发生。在伴压力性尿失禁(SUI)的36例患者中仅有1例复发,35例治疗有效,有效率为97.22%,手术效果确切。伴轻度SUI和中度SUI 2组间在改善率、治愈率对比差异有统计学意义(χ~2值分别为1.123、1.356,均P<0.05),但2组在复发率、有效率比较差异无统计学意义(χ~2值分别为3.571、3.117,均P>0.05)。结论在治疗POP时,采用经阴道髂尾肌筋膜固定术具有出血少、创伤小、恢复快、手术费用低廉等优点,值得临床推广应用。
Objective To investigate the clinical value of transvaginal Iliofacial fascia fixation in pelvic organ prolapse (POP) through case studies. Methods 48 patients admitted to our hospital from January 2014 to December 2015 in our hospital were treated with transvaginal Iliomykin fascioplasty in the treatment of POP, and the retrospective analysis of the operation and efficacy was performed. Results The bleeding volume of 48 patients was (104.2 ± 14.2) ml on average, with an average of (105.4 ± 25.2) min. There was no secondary injury during operation. The average time of postoperative exhaust was (8.5 ± 2.7) h, residual urine volume was (32.10 ± 3.65) ml. No postoperative bleeding, infection and cardiovascular and cerebrovascular accidents and other complications occurred. Of the 36 patients with stress urinary incontinence (SUI), only 1 patient relapsed, 35 patients were treated effectively, and the effective rate was 97.22%. The operative effect was exact. Compared with mild SUI and moderate SUI 2, there was significant difference in improvement rate and cure rate (χ ~ 2 = 1.123,1.356, P <0.05, respectively), but the recurrence rate and effective rate The difference was not statistically significant (χ ~ 2 values were 3.571,3.117, all P> 0.05). Conclusions In the treatment of POP, transvaginal Iliofemo-Myofascial fascioplasty has the advantages of less bleeding, less trauma, faster recovery and lower operation cost, which is worthy of clinical application.