目的：评价 Prosima 盆底重建术治疗盆腔器官脱垂的近期疗效。方法：40例因盆腔多个部位缺陷的盆腔脏器脱垂患者行全盆底重建术，其中采用 Prolift 全盆底重建系统行全盆底重建术20例，采用 Prosima 盆底重建系统行全盆底重建术20例，分析比较两组患者的术中平均出血量、手术时间、住院时间及术后疼痛率。结果：Prosima组术中平均出血量、平均手术时间、平均住院时间、术后疼痛率均明显少于 Prolift 组（P ﹤0.001）。结论：Prosima盆底重建术易于掌握，创伤小、无术后疼痛等并发症，术后近期疗效好。%Objective:To evaluate short-term clinical effects of Prosima pelvic floor reconstruction in treating pelvic organ prolapse. Methods:Forty women underwent the surgery for combined defect of pelvic floor who were admitted to our hos-pital from November,2010 to October,2011. The patients were divided into two groups:20 cases were in Gynecare Prolift System surgery and the other 20 in the group of Prosima System surgery. Statistical analysis was conducted for clinical da-ta of the two groups. Results:The operative hemorrhage of Prosima group[(100. 5 ± 55. 6)mL]was less(P ﹤ 0. 001) than that of Prolift group[(184. 9 ± 59. 7)mL];The operation time of Prosima group[(46. 3 ± 15. 4)mins]was shor-ter(P ﹤ 0. 001)than that of Prolift group[(71. 5 ± 20. 17)mins];The average hospitalization time of Prosima group [(5. 5 ± 1. 5)days]was shorter(P ﹤ 0. 001)than that of Prolift group[(8. 0 ± 2. 8)days];The case of postoperative pain was 0 in Prosima group while that of prolift group was 16. Conclusion:Prosima pelvic floor reconstruction is a micro-invasive and efficient procedure with few complications.
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