阴道盆底重建术与聚丙烯网带尿道中段悬吊术联合治疗子宫脱垂合并压力性尿失禁患者的效果分析
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摘要
目的:探讨子宫脱垂合并压力性尿失禁患者采用阴道盆底重建术联合聚丙烯网带尿道中段悬吊术治疗的效果。方法:选取2016年9月-2018年7月在笔者所在医院接受治疗的子宫脱垂合并压力性尿失禁患者92例,以随机数表法进行分为两组,各46例。对照组采用阴道盆底重建术联合无张力尿道中段悬吊术治疗,观察组采用阴道盆底重建术联合聚丙烯网带尿道中段悬吊术治疗,对比两组临床相关指标、尿失禁及残余尿量情况。结果:相较于对照组,观察组住院时间、手术时间及导管留置时间较短,术中出血量较少(P<0.05);观察组术后尿失禁及残余尿量均少于对照组(P<0.05)。结论:阴道盆底重建术联合聚丙烯网带尿道中段悬吊术治疗可有效减少子宫脱垂合并压力性尿失禁患者术中出血量,缩短导管留置时间及手术时间,减少残余尿量及尿失禁情况。
Objective:To investigate the effect of vaginal pelvic floor reconstruction combined with polypropylene mesh Mid-urethral suspension in patients with uterine prolapse and stress urinary incontinence.Method:From September 2016 to July 2018,92 patients with uterine prolapse and stress urinary incontinence were divided into two groups,46 cases in each group.The control group was treated with vaginal pelvic floor reconstruction combined with tension free middle urethral suspension,while the observation group was treated with vaginal pelvic floor reconstruction combined with polypropylene mesh mid-urethral suspension.The clinical indenes,urinary incontinence and residual urine volume were compared between the two groups.Result:Compared to the control group,the hospitalization time,operative time and catheter indwelling time were shorter,and the amount of intraoperative bleeding was less(P<0.05).The postoperative urinary incontinence and residual urine volume in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:Vagina pelvic floor reconstruction combined with mid-urethral suspension with polypropylene mesh can effectively reduce intraoperative bleeding in patients with uterine prolapse and stress urinary incontinence,and shorten the time of catheter indwelling and operation,reduce residual urine volume and urinary incontinence.
Objective:To investigate the effect of vaginal pelvic floor reconstruction combined with polypropylene mesh Mid-urethral suspension in patients with uterine prolapse and stress urinary incontinence.Method:From September 2016 to July 2018,92 patients with uterine prolapse and stress urinary incontinence were divided into two groups,46 cases in each group.The control group was treated with vaginal pelvic floor reconstruction combined with tension free middle urethral suspension,while the observation group was treated with vaginal pelvic floor reconstruction combined with polypropylene mesh mid-urethral suspension.The clinical indenes,urinary incontinence and residual urine volume were compared between the two groups.Result:Compared to the control group,the hospitalization time,operative time and catheter indwelling time were shorter,and the amount of intraoperative bleeding was less(P<0.05).The postoperative urinary incontinence and residual urine volume in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:Vagina pelvic floor reconstruction combined with mid-urethral suspension with polypropylene mesh can effectively reduce intraoperative bleeding in patients with uterine prolapse and stress urinary incontinence,and shorten the time of catheter indwelling and operation,reduce residual urine volume and urinary incontinence.
引文
[1]应婷,王鑫丹,陶华.柳州地区女性盆腔脏器脱垂与压力性尿失禁之间的关系[J].中国临床新医学,2017,10(9):850-853.
[2]王毅军,蒋本贵.盆底重建术治疗盆腔器官脱垂的疗效观察[J].浙江实用医学,2013,18(6):424-427.
[3]霍雷,张秀丽,陈银凤,等.不同手术方法联合治疗子宫脱垂合并压力性尿失禁的疗效对比[J].临床医学工程,2016,23(12):1607-1608.
[4]王益勤,杨欣,王建六.盆底重建术后合成网片或吊带相关疼痛的处理和结局分析[J].中华妇产科杂志,2016,51(12):901-908.
[5]娄艳辉,崔竹梅,田静,等.网片重建治疗盆腔器官脱垂的临床疗效及安全性评价[J].现代生物医学进展,2016,16(13):2496-2499.
[6]王娟,李国强,邓勇,等.女性压力性尿失禁发病人群的临床特点及两种手术方法治疗效果的比较[J].现代泌尿外科杂志,2017,22(11):839-843.
[7]刘成,洪莉.女性盆底功能障碍性疾病发病机制研究进展[J].中华生物医学工程杂志,2017,23(6):505-512.
[8]严维高,姜涛,拜晶,等.改良经阴道闭孔无张力尿道中段悬吊术治疗女性压力性尿失禁30例[J].中国微创外科杂志,2017,17(12):1097-1100.
[9]刁孟瑶.聚丙烯合成网片和生物补片在前盆底重建术中的临床价值[J].中国妇幼健康研究,2017,28(2):184-186.
[10]刘红珍,侯淑均,陈秀曲.阴道盆底重建术联合聚丙烯网带尿道中段悬吊手术治疗子宫脱垂合并压力性尿失禁的临床疗效[J].中国妇幼保健,2015,30(4):641-643.
[11]王素美,张震宇,刘崇东,等.盆底重建术同时行TVT-O治疗盆腔器官脱垂及压力性尿失禁临床疗效评价[J].中华妇产科杂志,2013,48(7):494-498.
[12]朱姝.阴道盆底重建术联合聚丙烯网带尿道中段悬吊术对子宫脱垂合并压力性尿失禁患者的疗效影响[J].中国医药指南,2017,15(8):148-149.
[2]王毅军,蒋本贵.盆底重建术治疗盆腔器官脱垂的疗效观察[J].浙江实用医学,2013,18(6):424-427.
[3]霍雷,张秀丽,陈银凤,等.不同手术方法联合治疗子宫脱垂合并压力性尿失禁的疗效对比[J].临床医学工程,2016,23(12):1607-1608.
[4]王益勤,杨欣,王建六.盆底重建术后合成网片或吊带相关疼痛的处理和结局分析[J].中华妇产科杂志,2016,51(12):901-908.
[5]娄艳辉,崔竹梅,田静,等.网片重建治疗盆腔器官脱垂的临床疗效及安全性评价[J].现代生物医学进展,2016,16(13):2496-2499.
[6]王娟,李国强,邓勇,等.女性压力性尿失禁发病人群的临床特点及两种手术方法治疗效果的比较[J].现代泌尿外科杂志,2017,22(11):839-843.
[7]刘成,洪莉.女性盆底功能障碍性疾病发病机制研究进展[J].中华生物医学工程杂志,2017,23(6):505-512.
[8]严维高,姜涛,拜晶,等.改良经阴道闭孔无张力尿道中段悬吊术治疗女性压力性尿失禁30例[J].中国微创外科杂志,2017,17(12):1097-1100.
[9]刁孟瑶.聚丙烯合成网片和生物补片在前盆底重建术中的临床价值[J].中国妇幼健康研究,2017,28(2):184-186.
[10]刘红珍,侯淑均,陈秀曲.阴道盆底重建术联合聚丙烯网带尿道中段悬吊手术治疗子宫脱垂合并压力性尿失禁的临床疗效[J].中国妇幼保健,2015,30(4):641-643.
[11]王素美,张震宇,刘崇东,等.盆底重建术同时行TVT-O治疗盆腔器官脱垂及压力性尿失禁临床疗效评价[J].中华妇产科杂志,2013,48(7):494-498.
[12]朱姝.阴道盆底重建术联合聚丙烯网带尿道中段悬吊术对子宫脱垂合并压力性尿失禁患者的疗效影响[J].中国医药指南,2017,15(8):148-149.