Clinical Analysis Of Three Surgical Methods For Female Pelvic Organ Prolapse

Objective: Pelvic floor defect(PFD)is a common benign disease in middle-aged and elderly women,which is caused by various causes of pelvic floor support weakness,and then pelvic organ displacement,resulting in other pelvic organ position and function abnormalities.The disease,known as "social cancer",mainly includes the following three types: uterine prolapse,anterior vaginal prolapse and posterior vaginal prolapse.The disease has seriously affected the quality of life and social activities of middle-aged and elderly female patients.With the continuous improvement of people’s concern for their own health,the awareness of disease prevention and control is constantly enhanced,and the number of patients is gradually increasing,showing a younger trend.According to the current medical information technology treatment in China,it can be divided into conservative treatment and surgical treatment.Although conservative treatment has the advantages of small trauma,low cost,simple operation and convenience,the effect of surgical treatment is more significant than that of conservative treatment.After a long period of development,Pop has many classic surgical methods,such as anterior and posterior vaginal wall repair,sacral vaginal fixation,high sacral ligament suspension and so on.In this study,95 patients with pelvic organ prolapse who were treated in the Department of Gynecology and age between 40 and 70,the fourth hospital of Hebei Medical University in the past10 years were analyzed retrospectively.Through the analysis of the three groups of patients with preoperative,perioperative,postoperative recovery and long-term complications of clinical data,analysis of the surgical effect of three kinds of operation.Methods:The complete data of 95 patients which age between 40 and 70,with pelvic organ ptosis in our hospital in the past 10 years were retrospectively analyzed,and the data were classified and grouped.There were 38 cases of anterior and posterior vaginal wall repair in group A,30 cases of sacral vaginal fixation in group B,and 27 cases of high sacral ligament suspension in group C.IBM SPSS statistics 26.0 software was used to compare the basic data,perioperative indicators,postoperative short-term and long-term complications of 95 patients,and PFDI-20 was used to compare the postoperative quality of life of the three groups.Results:1.There were no differences in age,menopausal age,BMI,pregnancy times,course of disease and labor times among the three groups(P>0.05).They can be compared.2.There was significant difference in the operation time among the three groups,and the operation time of group B was longer than that of the other two groups(P<0.05).Short postoperative hospitalization time other two groups(P<0.05).3.The preoperative pfdi-20 score of the three groups was statistically analyzed.The score of group C was significantly lower than that of group A、B(P<0.05);the pfdi-20 score of group B was significantly lower er than that of group AC(P<0.05).4.There were 6 cases of recurrence in group A,8 cases of leakage and 2cases of frequent urination in group B,and 1 case of recurrence,1 case of leakage,1 case of difficulty in defecation and 1 case of lumbosacral pain in group C.The recurrence rate of group A was significantly higher than that of group B、C(P<0.05);the urine leakage rate of group B was much higher than that of group A、C(P<0.05).Conclusions:The above three surgical methods for the treatment of pelvic organ prolapse belong to the classic surgical methods,each of which has its own advantages and disadvantages.Anterior and posterior vaginal wall repair is economical,safe and effective,with good short-term effect,but it is easy to relapse;sacral vaginal fixation has small trauma,low recurrence rate,but long operation time,high leakage rate;high sacral ligament suspension is also minimally invasive,with low recurrence rate,good recovery of pelvic floor anatomy and functional structure,but it is prone to low back pain,leakage and other complications.Surgeons should comprehensively analyze the advantages and disadvantages of the three different surgical methods and the applicability of different groups,so as to guide the surgical research progress of pelvic organ prolapse.The results show that we can promote the realization of individualized treatment,optimize the treatment of pop,and protect women’s reproductive health.