曼彻斯特手术治疗盆腔脏器脱垂患者的效果观察

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Abstract Objective To evaluate the therapeutic effect of Manchester surgery in patients with pelvic organ prolapse. Methods A retrospective analysis was made on 83 cases with pelvic organ prolapse who were treated with Manchester surgery in Provincial Hospital Affiliated to Anhui Medical University from January 2009 to January 2016. The operation time, intraoperative bleeding and postoperative recovery of patients were recorded; the subjective symptoms, pelvic examination and the quality of life of patients were followed up through clinic and telephone consultation and questionnaire survey. Results 83 patients had no surgery injury or death. The average blood loss of patients of <60 years and ≥60 years [(82.31±36.91) mL vs (70.18±33.62) mL] had statistically significant difference (P < 0.05); while the mean operative time [(105.52±46.29) min vs (81.28±32.47) min], hospitalization time [(6.46±1.71) d vs (6.51±1.36) d] had no statistically significant difference (P > 0.05). The POP-Q scores postoperative showed that the symptoms of prolapse were improved significantly compared with before operation, the difference was statistically significant (P < 0.05). The pelvic floor incontinence questionnaire score and pelvic floor distress inventory score were significantly lower than those before surgery, the differences were statistically significant (P < 0.01); POP/urinary incontinence sexual questionnaire scored was lower than before surgery, with no significant difference (P > 0.05). Conclusion As a traditional surgical treatment of pelvic organ prolapse, Manchester surgery is still an effective method of treatment. Which can improve the prolapse symptoms and the quality of life.

Key words： Manchester surgery Pelvic organ prolapse Cervical extension

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	SHEN Zhen FANG Zheng ZHOU Ying PENG Cheng WU Dabao

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SHEN Zhen FANG Zheng ZHOU Ying PENG Cheng WU Dabao. Therapeutic effect of Manchester surgery on patients with pelvic organ prolapse[J]. 中国医药导报, 2017, 14(33): 106-110.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I33/106

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