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《Chinese Journal of Difficult and Complicated Cases》 2017-07
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Comparison of pelvic floor suspension and traditional transvaginal hysterectomy in the treatment of pelvic floor dysfunction

XU Jing;CHEN Yanqin;WANG Jiajun;ZHENG Lin;ZHANG Hong;Department of Gynecology,Wuxi Maternal and Child Health Hospital;  
Objective To investigate the efficacy of pelvic floor suspension and traditional transvaginal hysterectomy in the treatment of pelvic floor dysfunction.Methods From January 2014 to December 2015,104 patients with pelvic floor dysfunction of Wuxi Maternal and Child Health Hospital gynecologywere were divided into two groups according to the admission number.Single number into the control group,the implementation of traditional vaginal hysterectomy treatment;double into the observation group,the implementation of pelvic floor suspension surgery.The perioperation,recurrence rate,pelvic floor dysfunction scale(PFRI) score and postoperative complications of the two groups were observed and compared.Results The operation time,intraoperative blood loss,postoperative exhaust time,indwelling catheter time,hospitalization time after operation were better than those in the control group,the difference was statistically significant(t=9.225,7.451,7.215,17.666,14.642,P0.01);the observation group after 12 months of pelvic organ prolapse recurrence rate was lower than the control group,the observation group after 6 months and 12 months of stress urinary incontinence recurrence rate compared to the control group were lower,the difference was statistically significant(χ~2=4.616,8.217,16.798,P0.05);compared with that before operation,the PFRI score of the patients in the observation group was improved 6 and 12 months after operation,and the observation group was better than in the control group,the observation group the incidence of postoperative complications was lower than the control group,the difference was statistically significant(P0.01,P0.05).Conclusion Pelvic floor suspension treatment of pelvic floor dysfunction is significantly better than the traditional transvaginal hysterectomy.
【Fund】: 江苏省卫计委妇幼保健重点项目(F201522)
【CateGory Index】: R713
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