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

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