The Analysis Of Objective And Subjective Short-time Curative Effect On Total Pelvic Floor Reconstruction To Pelvic Floor Prolapse Patients

ObjectiveTo discuss the curative effect of Total Pelvic Floor Reconstruction with mesh match on severe pelvic floor prolapse patients.MethodGraded the 78 cases of pelvic floor prolapse patients with objective and subjective grade methods in our hospital from Jul.,2007 to Jul.,2009,58 cases in experimental group were cured by Total Pelvic Floor Reconstruction with mesh match,24 cases suffered from stress urinary incontinence(SUI), among these cases there were 2 patients cured by TVT-O simultaneously.20 patients in the control group cured by vaginal hysterectomy with the repair of anterior and posterior vaginal wall.5 cases suffered from SUI, among these cases there were 3 patients cured by TVT-O simultaneously.Result1.By 3 to 6 month-follow-up after operation,there was no recidivate case in experiment group, they scored by POP-Q were all 0 grade, objective cure rate is 100%.The mean subjective symptom score improves 101.81±9.00. The symptom of pelvic and intestinal tract were all cured.There were 6 cases still had the symptom of frequent and mild SUI. Subjective cure rate is 89.7%;There were 2 cases of I grade and 4 cases ofⅡgrade in the control group after operation,they were vagina anterior wall and vaginae fornix bulge, objective cure rate is 55%. The mean subjective symptom score improves 80.78±15.47, There were 9 cases still had the symptom of pelvic(sense of pelvic tenesmus. vaginal corpus alienum and empty bladder dysfunction),intestinal tract (defecation dysfunction)and bladder(frequent,SUI and empty bladder dysfunction) symptom. Subjective cure rate is 55%.There were significantly different on cure rate and subjective symptom score improvement between the two group(P<0.05).2.Cases of experiment group who suffered from SUI were cured by TVT-O or by ascending the front match.Amony 5 cases in control group who suffered from SUI,3 cases were cured by TVT-O and other 2 cases did not heal.Other 1 case has new symptom of SUI after operation.ConclusionTotal Pelvic Floor Reconstruction which use vicarious materials has certain curative effect for recovering the anatomy of pelvic floor and improve the symptom of pelvic dysfunction.