Clinical Evaluation Of Iindividualized Treatment Of Pelvic Organ Dysfunction Disease In Woman

ObjectiveTo evaluate the efficacy and safety of traditional surgery and laparoscopic sacrectomy in order to provide an effective clinical basis for individualized treatment for female pelvic organ dysfunction disease.Methods1.The 60 patients who were ?-? degree uterus and / or vaginal anterior and posterior wall prolapse without gynecological tumor disease and serious surgical diseases were randomly divided into group A(conventional surgery group)and group B(laparoscopic sacrectomy group),30 in each group.Demographic data were compared between the two groups for statistical significance.2.The indexes in intraoperative and perioperative period and the incidence of perioperative complications were analyzed in two groups by checking the cases and operation records of the patients.3.After operation,POP-Q index points and TVL length in two groups were compared through gynecological examination in order to evaluated surgical cure rat.4.Postoperatively,the scores of PGI-C,PFDI-20 and PFIQ-7 were compared for evaluateing patients postoperative quality of life and satisfaction with surgery.5.To understand whether the patients appeared complications by the phone and outpatient visits.Result1.The comparison of perioperative parameters: The average operation time,intraoperative blood loss,residual urine volume,indwelling catheter time and postoperative hospital stay in group B were(116.47 ± 30.28)min,(56.41 ± 26.57)ml and(31.16 ± 5.47)ml and(2.41 ± 0.18)and(3.91 ± 0.72)days,respectively.Group A were(102.57 ± 27.86)min,(139.57 ± 37.59)ml,(43.29 ± 6.35)ml and(5.87 ± 1.47)and(9.38 ± 3.26)d respectively.2.Anatomical efficacy comparison: According to POP-Q score method,the position of postoperative points in both groups was significantly improved after operation,the difference was statistically significant(P <0.05).The TVL length in group A was significantly shorter than that in group B(P <0.05).3.The comparison of postoperative objective cure rate and subjective satisfaction: objective recovery rate of patients in group B was higher than that of patients in group A,the difference was statistically significant(P <0.05).There was no significant difference in subjective satisfaction between the two groups(P> 0.05).4.The comparison of quality of life Before operation,There was no significant difference in PFDI-20 and PFIQ-7 questionnaires between the two groups(P> 0.05).There was no significant difference in PFIQ-7 and PFDI-20 scores between the two groups at follow-up 6 months after operation(P> 0.05).PFIQ-7 and PFDI-20 scores in group B significantly better than that in A group at follow-up 12 months after operation(P <0.05).5.Perioperative and long term complication The perioperative and long term complication rates in group B were significantly lower than those in group A(P <0.05).Conclusions1.Traditional surgery and laparoscopic sacrocolpopexy can effectively treat female pelvic organ dysfunction disease.2 The amount of bleeding,postoperative catheterization and hospital stay were better in laparoscopic sacrocolpopexy than that in conventional surgery,but laparoscopic sacrocolpopexy is difficult and surgeon is skilled.3.Laparoscopic sacrocolpopexy improve the quality of life of patients.4.laparoscopic sacrocolpopexy is the ideal treatment for women with pelvic organ dysfunction due to its objective cure rate,low recurrence rate,less postoperative complications?Patients should be based on the wishes of the prolapse,the quality of life requirements to develop individualized treatment programs.