Prolift Pelvic Floor Reconstruction Clinical Analysis For The Treatment Of Female Pelvic Organ Prolapse

Objective： Discusses application of Prolift pelvic floor lines theuterus total pelvic floor reconstruction system along with the feasibilityand clinical efficacy, to the group and the control group, withobservation and follow-up on two groups of patients in preoperative,intraoperative situation and the change of quality of life of compareanalysis, evaluation of the uterus Prolift pelvic floor reconstructionsurgery effect and improve patient quality of life, to select suitable forpatients to provide theoretical basis for the optimal operation method.Method： Choose from January2009to July2012, the firsthospital of jilin university were analyzed the clinical data of40patientswith POP, according to different grouping of surgical operation,15routine application team Prolift pelvic floor reconstruction system linethe uterus of supracricoid laryngectomy with reconstruction of the pelvicfloor; Line in the control group TVH+front vaginal wall repair in2cases, lines of TVH+repair after vaginal wall3cases, lines of TVH+vaginal wall repair before and after20cases. General data is similarbetween the two groups has no statistical significance, and surgeryphysician for the same level. Postoperative patients were cured out of thehospital. Comparing two group of patients with intraoperative and postoperative outcomes.Result：1. Intraoperative situation analysis results Operationtime：Team operation time min,75-140min, an average of99.05±20.88min; Control operation time60-145min, an average of116.67±22.57min.Intraoperative blood loss：Bleeding amount of team of60-200ml, anaverage of111.00±52.00ml. Control intraoperatie blood loss,170-230ml,an average of201.33±16.63ml. Team operative time and intraoperativeblood loss compared with control group difference was statisticallysignificant (p <0.05).2. Postoperative situation analysis resultsThe postoperative hospitalization days：Group at the postoperativehospitalization days5-9days, an average of7.00±1.49days; Control thepostoperative hospitalization days7to12days, an average of9.33±1.54days. Postoperative exhaust time： Postoperative exhaust group28-32hours, an average of30.00±1.49hours; In the control group of48postoperative exhaust time-up to60hours, an average of54.00±4.26hours. Group compared with control group in the postoperativehospitalization days and postoperative exhaust time differences hadstatistical significance (p <0.05).3. Intraoperative and postoperativecomplications: Intraoperative group and control group in no.1caseswith bladder, urethra, rectum and vascular damage. Group3was hippuncture point surrounding skin ecchymosis, instruct patients with1:5000potassium permanganate sitz bath once a day, four days after symptoms improve, bruises before discharge are not obvious;1case of vaginalsecretion grow in quantity, to give daily vaginal disinfection and estrogenointment for external use, seriously reduce the vaginal discharge, vaginalsmooth soft, vaginal stenosis was not occurred, vaginal wall elasticity isgood, well before leaving hospital.4. Postoperative cure rate:Postoperative follow-up of3-12months, the team of15cases of patientswith postoperative POP score method to determine the instructions are inthe normal position, objective cure rate100%.2cases of stressincontinence is preoperative improved markedly,1case still consciouslyslightly lower abdomen fall bilge feeling, postoperative symptomsdisappeared3months. Control group3patients6months after vaginalbulging anterior wall II degree, reduced POP score, objective cure ratewas88%. Preoperative improvement in9cases of stress incontinence,7cases of consciously ventral sank bilge feeling relief is not obvious. Twogroups of cases of ventral sank bilge feeling, urination and defecationcomparison before surgery had no statistical difference (p>0.05),postoperative group compared with control group ventral sank bilgefeeling and urinate differences had statistical significance (p <0.05).40cases of patients with uterine prolapse, vaginal wall prolapse symptomsbefore and after the basic improvement, but retain the womb Proliftpelvic reconstructive approach and the traditional TvH+comparisonbetween before and after vaginal wall repair, the recent curative effect is better, not only retained the integrity of the female reproductive organs,and rebuilt the normal anatomic structure of the pelvic floor, improvedthe function, improve the quality of life. But the forward curative effectstill needs further observation.Conclusion：1.etain the womb Prolift pelvic reconstructive approachand the traditional TvH+vaginal wall before and after repair areeffective surgical procedure for treatment of pops.2.Retain the womb Prolift pelvic floor reconstruction surgery bettercurative effect, the recurrence rate is low, the quality of life improvedsignificantly.3.Retain the womb Prolift pelvic reconstructive approach maintainthe integrity of the female reproductive organs.4.Retain the womb Prolift pelvic reconstructive approach in thenear future curative effect is stable, long-term effect still needs furtherobservation.