【摘要】：目的探討Avaulta系統(tǒng)盆底重建術(shù)的臨床療效及對患者生活質(zhì)量的影響。方法回顧性分析2012年7月至2013年5月因重度盆腔器官脫垂行Avaulta盆底重建術(shù)83例患者的臨床資料,通過比較患者術(shù)前、術(shù)后POP-Q分期、盆底功能障礙影響問卷(PFDI-20),評價Avaulta系統(tǒng)盆底重建術(shù)的解剖療效與功能療效。結(jié)果 83例患者中,3例術(shù)后失訪,80例納入研究,其中11例患者有全子宮切除術(shù)史。56例患者行前后路Avaulta,17例行單純前路Avaulta,7例行單純后路Avaulta,42例保留子宮,27例同時行陰式子宮切除術(shù),中位手術(shù)時間100 min(80~150 min),中位出血量150 m(l 100~280 m1)。術(shù)中膀胱、直腸損傷各1例,術(shù)后隨訪24~34個月,中位隨訪27個月,無Ⅱ度及以上脫垂。與術(shù)前PFDI-20評分比較,患者術(shù)后生活質(zhì)量明顯改善(P0.05)。結(jié)論 Avaulta盆底重建術(shù)治療重度盆腔器官脫垂,微創(chuàng),安全性好,并發(fā)癥少,近中期效果良好,遠期效果有待進一步觀察。
[Abstract]:Objective to investigate the clinical effect of pelvic floor reconstruction with Avaulta system and its effect on patients' quality of life. Methods the clinical data of 83 patients undergoing Avaulta pelvic floor reconstruction due to severe pelvic organ prolapse from July 2012 to May 2013 were retrospectively analyzed. The preoperative and postoperative POP-Q stages were compared. Pelvic floor dysfunction questionnaire (PFDI-20) was used to evaluate the anatomical and functional effects of pelvic floor reconstruction with Avaulta system. Results among the 83 cases, 80 cases had lost visit after operation. Among them, 11 cases had total hysterectomy. 56 cases had history of total hysterectomy. 17 cases of anterior and posterior Avaulta-treated patients were treated with simple anterior approach Avaultata-7 cases with simple posterior Avaulta-conserved uterus in 27 cases, and 27 cases with vaginal hysterectomy at the same time. The median operative time was 100 min (80 m (l 150 min), median bleeding volume 150 m (l 100m 1). There were 1 case of bladder and 1 case of rectal injury during operation. The follow-up was 24 ~ 34 months, and the median follow-up was 27 months. There was no grade 鈪，

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