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1、盆腔脏器脱垂手术临床疗效探究【摘要】目的：探讨改良全盆底重建术和传统术式治疗盆腔脏器脱垂的有效性及安全性。方法：选取笔者所在医院2013年1月-2014年5月收治的40例确诊为盆腔脏器脱垂(P0P-Q分度III〜IV度,合并不同程度阴道前后壁膨出、非宫颈延长)患者为研究对象，按照随机平行分组法分为重建组(n=20)和传统组(n=20)，随访两组的手术及疗效指标，进行统计学分析。结果：重建组手术时间、术屮出血量和术后住院时间均低于传统组(1X0.05),重建组术后复发率低于传统组，两组比较差异有统
2、计学意义(P〈0・05)。两组患者P0P-Q分度评价术后脱垂解剖程度均有明显改善，效果显著。结论：两种术式都是安全有效的，但改良全盆底重建术具有安全、简便和微创等特点，中短期疗效显著，能够明显改患者的生活质量。【关键词】盆腔脏器脱垂；改良全盆底重建术；阴式子宫全切术;阴道前后壁修补术；紙棘韧带悬吊术中图分类号R713文献标识码A文章编号1674-6805(2016)8-0001-03【Abstract】Objective：Toexplorethesafetyandeffectivenessofp
3、elvicorganprolapsesurgicaltreatmentofimprovedpelvicreconstructiveapproachandtraditionalsurgery.Method：40patientsdiagnosedwithpelvicorganprolapse(POP-QpointsIII—IVdegrees,withdifferentlevelsbeforeandaftervaginalwal1surfaces,andthecervicalextension)wer
4、echosenfromJanuary2013toMay2014inourhospitalastheresearchobject,whichwererandomlydividedintoreconstruct!ongroupandthetraditionalgroupaccordingtotherandomparallelgrouping,20casesineachgroup,followed-upandstatisticalanalysedthesurgeryandtherapeuticeffe
5、ctoftwogroups.Result：Theoperativetime,intraoperativebloodlossandpostoperativehospitalstayofthereconstructiongroupwerelowerthanthatofthetraditionalgroup(P<0.05),andpostoperativerecurrenceratewaslowerthanthetraditionalgroup,therewasstatisticalsignifica
6、nee(P<0.05).POP-Qindextoevaluatetheanatomyofthetwogroupsofpatientswithpostoperativeprolapsedegreewereimprovedsignificantly,theeffectwasremarkable.Conclusion：Twokindsofoperativemethodsaresafeandeffective,butimprovedpelvicreconstructiveapproachhasmanyc
7、haracteristics,suchassafety,simpleandminimallyinvasive,short-termcurativeeffectisdistinct,anditcanobviouslyimprovethepatient?squalityoflife・[Keywords]Pelvicorganprolapse；Allimprovedpelvicreconstructiveapproach；Yintypeofuteruscutmethod；Vaginalwallbefo
8、reandafterrepair；SpineligamentsuspensionFirst-author"saddress：ShuyangTraditionalChineseMedicineHospital,Shuyang223600,Chinadoi：10.14033/j.cnki.cfmr.2016.8.001盆腔脏器脱垂(pelvicorganprolapse,POP)是中老年妇女的常见疾病，主要症状为阴道口组织物脱出，可伴有排尿、排便和性功能障碍，不同程度地影响患者的生活质量，POP伴有
