Songklanagarind医院盆腔器官脱垂的手术结果,10年经验

Siwatchaya Khanuengkitkong, T. Choobun
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引用次数: 0

摘要

目的:评价我院盆腔器官脱垂矫正术的手术类型、疗效及围手术期并发症。材料和方法:这是一项描述性研究,包括2001年1月至2011年12月在妇产科接受盆腔器官脱垂手术的270名女性。获得了有关年龄、体重指数、产次、分娩途径、既往妇科手术、合并症和更年期状况的人口统计数据。从患者病历中回顾盆腔器官脱垂的临床症状、诊断和分期,以及手术相关数据,包括手术类型、不良事件和复发率。采用描述性统计进行分析。结果:在270名接受盆腔器官脱垂手术的女性中,平均年龄为65.6岁(43岁至87岁)。阴道子宫切除术合并前阴道修补术和后阴道刮除术是最常见的手术(220例,81.5%)。术中最常见的并发症是需要输血的出血(12例,4.4%)。最常见的术后并发症是急性尿潴留(28例,10.4%),其次是阴道血肿(7例,2.6%)。中位随访时间为8个月(6-84),复发率为7.8%。
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Outcomes of Surgery for Pelvic Organ Prolapse in Songklanagarind Hospital, 10 years Experience
Objectives: To evaluate the type of surgery, outcome and peri-operative complication after surgical correction of pelvic organ prolapse in our institute. Materials and Methods: This was a descriptive study that included 270 women who underwent surgery for pelvic organ prolapse in Department of Obstetrics and Gynecology between January 2001 and December 2011. Demographic data on age, body mass index, parity, route of delivery, previous gynecologic surgery, co-morbidities, and menopausal status were obtained. Clinical symptoms, diagnosis and stage of pelvic organ prolapse, and procedure related data including type of operation, adverse events, and the recurrence rate were reviewed from patient’ charts. Descriptive statistics were used for analysis. Results: Of the 270 women who underwent pelvic organ prolapse surgery, the mean age was 65.6 years old (range 43-87). Vaginal hysterectomy with anterior colporrhaphy and posterior colpoperineorrhaphy was the most common procedure (220 patients, 81.5%). The most common intra-operative complication was hemorrhage that required blood transfusion (12 patients, 4.4%). The most common post-operative complication was acute urinary retention (28 patients, 10.4%), followed by vaginal hematoma (7 patients, 2.6%). The median length of follow-up was 8 months (range 6-84), and the recurrence rate was 7.8%. Conclusion: Peri-operative complication related to surgical correction for pelvic organ prolapse was moderate without serious complications occurred.
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来源期刊
Thai Journal of Obstetrics and Gynaecology
Thai Journal of Obstetrics and Gynaecology Medicine-Obstetrics and Gynecology
CiteScore
0.40
自引率
0.00%
发文量
3
审稿时长
24 weeks
期刊最新文献
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