摘要
目的探讨腹腔镜下行子宫骶骨韧带缩短固定术治疗子宫脱垂的可行性及疗效。方法2001年2月至2003年5月间,采用腹腔镜下子宫骶骨韧带悬吊缩短固定术治疗子宫脱垂患者32例。患者平均年龄552岁(45～67岁),均为经产妇、绝经期妇女。32例均有子宫脱垂和阴道前壁膨出,其中伴有阴道后壁膨出4例,合并有压力性尿失禁15例,合并子宫肌瘤4例。结果32例患者子宫或阴道残端固定手术均在腹腔镜下完成,手术时间平均为(32±11)min(20～80min),平均失血量低于50ml(30～90ml)。随诊4～28个月,23例为治愈,7例为有效,2例术后复发。结论腹腔镜下子宫骶骨韧带缩短固定术是一种治疗有症状的子宫脱垂的安全、有效的方法,特别适合希望保留子宫的患者。
Objective To investigate possibility and effect of laparoscopic suture uterosacral ligament hysteropexy or colpopexy for women with uterine prolapse Methods Thirty two women with symptomatic uterine prolapse underwent laparoscopic suture uterosacral ligament hysteropexy At the laparoscopic suture hysteropexy or colpopexy, the pouch of Douglas was closed and the uterosacral ligaments were plicated and reattached to the cervix All patients were multipara and menopausal with prolapse of anterior wall of vagina Additionally, 4 patients were with prolapse of posterior wall of vagina, 15 with stress urinary incontinence, and 4 with myomas Results All procedures were successfully completed laparoscopically The mean operating time for the laparoscopic suture hysteropexy or colpopexy alone was (32±11) min (range 20～80 min), and the mean blood loss was less than 50 ml After a mean follow up of(12±6) months (range 4～28 months), 23 women had no symptoms of uterine prolapse and seven had no objective evidence of uterine prolapse Two women presented recurrence of uterine prolapse 3 months after operation Conclusions The laparoscopy suture hysteropexy or colpopexy is effective and safe in the management of symptomatic uterine prolapse It may be an appropriate procedure for women with uterine prolapse hoping for uterine preservation
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
2004年第10期666-668,共3页
Chinese Journal of Obstetrics and Gynecology
