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目的:评价Prolift盆底修复系统治疗重度盆腔脏器脱垂的临床效果。方法:18例POP-Q分度为Ⅲ~Ⅳ度盆腔脏器脱垂患者应用Prolift盆底修复系统行盆底重建术,术后定期随访,以POP-Q分度及电生理技术检测阴道张力、压力和盆底肌力作为客观评价指标,以阴道无肿物脱出为主观治愈指标。结果:手术时间平均(85±48)min,术中出血量平均(205±75)ml,术后住院时间平均(4.4±1.5)天,随访3~18个月,治愈率为94.4%,主观治愈率100%。结论:Prolift盆底修复系统能全面重建盆底功能,手术操作安全、微创,近期疗效确切,但远期疗效需随访观察。
Objective: To evaluate the clinical effect of Prolift pelvic floor repair system in the treatment of severe pelvic organ prolapse. Methods: 18 cases of pelvic organ prolapse with grade Ⅲ ~ Ⅳ of POP-Q were treated with Prolift pelvic floor repair system. Pelvic floor reconstruction was performed in 18 patients with pelvic organ prolapse. Postoperative vaginal tension was measured by POP-Q index and electrophysiological technique , Pressure and pelvic floor muscle strength as an objective evaluation index to the vaginal no prolapse as the subjective cure index. Results: The average operation time was (85 ± 48) min, mean blood loss was (205 ± 75) ml, average postoperative hospital stay was (4.4 ± 1.5) days. The follow-up period was 3 to 18 months. The cure rate was 94.4% Cure rate of 100%. Conclusion: Prolift pelvic floor repair system can fully reconstruct pelvic floor function, safe and minimally invasive surgery, the exact effect of the recent, but the long-term efficacy of follow-up observation.