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《Ningxia Medical Journal》 2018-08
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Clinical analysis on three surgical treatments for moderate and severe pelvic organ prolapse

GAO Jing;MA Xiangling;YAO Weiwei;LIU Xuelan;CHEN Hua;HA Chunfang;Ningxia Medical University;Obstetrics and Gynecology Department,General Hospital of Ningxia Medical University;  
Objective To explore the three kinds of surgical treatment of pelvic organ prolapse,and to compare the advantages and disadvantages of the three operations to provide a theoretical basis for clinical practice. Methods The 49 patients diagnosed pelvic organ prolapse. Among them,20 patients underwent uterus suspends through the vaginal screen add the anterior vaginal wall were divided into group A. 20 patients underwent laparoscopic sacralcolpopexy were divided into group B. 9 patients underwent laparoscopic sacralcolpopexy add the posterior vaginal wall repair were divided into group C. Compared the clinical data,complications and follow-up data.Results Surgical parameters: there were no significant difference in the blood loss,catheterization time and the hospital stays among three groups. The operative time of group C was the longest among them; Living quality: six months after surgery,the postoperative POP-Q scores and the PFDI-20 score of group A and C were better than group B,the quality of sexual life of group A was the worst among them(P 0. 05); Perioperative complications: There was one patient showed mesh exposure and one case occurred pelvic pain. Conclusion Three operation methods all are safe and effective. They all have merits and demerits. In clinical therapy,we should consider and realize individual treatment base on the patients' wishes,age,degree of organ prolapse.
【Fund】: 宁夏重点研发计划(科技惠民)项目(2016KJHM52)
【CateGory Index】: R713.43
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