中国实用妇科与产科杂志

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宫颈穹窿化技术在盆腔器官脱垂重建手术中的应用

胡清夏志军许海楠赵颖   

  1. 作者单位:中国医科大学附属盛京医院,辽宁 沈阳 110004
  • 出版日期:2015-04-02 发布日期:2015-04-02
  • 通讯作者: 夏志军
  • 基金资助:

    国家科技部十二五“重大新药创制”科技重大专项课题(2012ZX09401004);辽宁省科学技术计划项目(2012225017);中华预防医学会科研资金支持项目(20130606)

The study of applying cervical vaulation in pelvic reconstruction surgery.

HU Qing, XIA Zhi-jun, XU Hai-nan,ZHAO Ying.   

  1. Gynecologic Department of China Medical University Affiliated Shengjing Hospital, Shenyang 110004, China
  • Online:2015-04-02 Published:2015-04-02

摘要:

目的 探讨宫颈穹窿化技术在保留子宫的全盆底重建手术中的应用价值。方法 选取 2011 年 1 月至2012 年1月因患有Ⅲ~Ⅳ度盆腔器官脱垂,于中国医科大学附属盛京医院接受植入网片保留子宫的全盆底重建手术治疗患者 109例作为研究对象。其中观察组,保留子宫同时增加“宫颈穹窿化”术式的全盆底重建手术,共 50例;对照组,保留子宫的传统全盆底重建手术,共59例。两组患者术前一般情况,术前 POP-Q 分期,围手术期情况比较,差异无统计学意义。结果 术后随访POP-Q分期,观察组与对照组C 点位置[6个月(-6.75±1.83)cm对(-4.63±

关键词: 宫颈穹窿化, 保留子宫, 盆底重建术, 盆腔器官脱垂

Abstract:

Abstract: Objective To study the value of cervical vaulation in pelvic reconstruction surgery with uterus reservation.Methods Choose 109 patients who took surgery of pelvic reconstruction with uterus reservation in Shengjing Hospital because of Ⅲ~Ⅳ degree pelvic organ prolapsed from January 2011 to January 2012, and divide them into two groups.Experimental group: 50 patients receiving cervical vaulation in pelvic reconstruction surgery with uterus reservation;Control group: 59 patients receiving traditional pelvic reconstruction surgery with uterus reservation. The general condition, peri-operative outcomes and follow up data were compared between two groups. Results 18 months after operation, some parameters are compared, the point C ,D is higher in experimental group than in control group[C: 6 months(-6.75±1.83)cm vs(-4.63±1.07)cm,12 months(-6.75±1.83)cm vs(-4.03±1.57)cm,18 months(-7.01±1.83)cm vs(4.03±1.77)cm], [D: 6 months(-7.13±1.41)cm vs(-5.00±1.41)cm,12 months(-7.12±1.41)cm vs(-4.52±1.51)cm,18 months(-7.13±

Key words: cervical vaulation ;reservation of uterus, pelvic reconstruction surgery, pelvic organ prolapse

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