Study Of Three Kinds Of Surgen For Treatment Of Pelvic Organ Prolapse

ObjectiveTo explore the clinical efficacy of uterus suspends through the vaginal screen add the anterior vaginal wall and the posterior vaginal wall repair ?laparoscopic sacralcolpopexy?laparoscopic sacralcolpopexy add the(anterior)posterior vaginal wall repair which treat pelvic organ prolapse,to compare the advantages and disadvantages of the three operations and provide a theoretical basis for clinical practice.MethodThe 49 patients diagnosed as II-III° of the anterior(posterior)vaginal wall prolapse and II°uterine prolapse or more than II°uterine prolapse from June 2015 to June 2017 at the Affiliated Hospital of Ningxia Medical University.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 clinical data,complications and follow-up data of the three groups of patients,to explore the three clinical efficacy and surgical complications.All data were analyzed by SPSS 20.0 software.Result1.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 B and C was longer than group A.But there was no significant difference between group B and C.2.Perioperative complications: There was a patient in the group C whose vaginal vessel was injured.There was a patient showed mesh exposure in all three groups.One case occured pelvic pain in the group B.3.Anatomical therapy effect:Following-up 12 months,the postoperative POP-Q scores of the three groups were significantly improved compared with preoperative POP-Q scores,and no recurrence during follow-up period.Among them,after three months of surgery,anatomical therapy effect of group C was better than group B,we can not draw the conclusion between group A and B.But there was no significant difference between group A and C.After six months of surgery,anatomical therapy effect of group A and C was better than group B,but,there was no significant difference between group A and C.4.Living quality: PFDI-20 score and PISQ-12 score were significantly changed in the three groups before and after 6 months(P <0.05).And there were significant difference among the three groups about PFDI-20 score and PISQ-12 score.The living quality of group A and C was better than group B,But there was no significant difference between group A and C.The sexual life satisfaction of group B was better than group A and C,but there was no significant difference between A and C.ConclusionThree operation methods are all safe and effective.They all have their own merits and demerits.In clinical therapy,we should be based on the patients' wishes,age,degree of organ prolapse,the degree of sexual desire and other factors,so as to realize indivadul treatment.