摘要
目的 探讨腹腔镜下骶棘韧带固定术（LSSLF）治疗子宫脱垂和阴道穹窿脱垂的手术技巧和临床疗效。方法 自2004年5月至2006年3月，对第三军医大学第一附属医院妇产科收治的29例子宫脱垂和阴道穹窿脱垂患者行LSSLF，术后第1、3、6、9、12个月定期随访。主观治愈定义为：术后患者无任何自觉症状；客观治愈定义为术后子宫脱垂和阴道穹窿脱垂POP-Q分期为0期。结果 平均手术时间75min（55～120min），术中平均失血量105mL（60～200mL），手术中有1例在分离腹膜时损伤膀胱，在腹腔镜下完成修补，术中未发生其他并发症。术后平均住院时间4．7d（4～8d），尿管引流2．6（2～7d）。术后随访8个月（1～22个月），主观治愈率和客观治愈率均为100％。结论 对于子宫脱垂和阴道穹窿脱垂患者，采用LSSLF是一种安全有效的治疗方法。
Objective To investigate the skill, efficacy and safety of laparoscopic sacrospinous ligament fixation （ LSSLF） ,the LSSLF technique was used as part of the vaginal repair procedure for marked uterovaginal prolapse, and in the treatment of vault prolapse. Methods 29 cases with marked uterovaginal prolapse and vault prolapse were treated by LSSLF. All cases have clinical symptom. Regular follow-up were provided at 1,3,6,9,12 months after operation. Patients without any subjective symptom were defined as subjective cure and pelvic organ prolapse quantification（POP-Q） of uterine and vault were 0 were defined as objective cure. Results All patients had their surgery completed by LPVR. No morbidity operational complications and morbidity after operation happened. The average operative time was 75min （55 120 min） and estimated blood loss was 105ml（60 200ml）. The overall hospital stay averaged was 4.7 days. Patients were followed up for 8 months（1-22months） after operation. The subjective and objective cure rate were all 100%. Conclusion LSSLF can be successfully completed in patients with uterovaginal and vault prolapse with less injury and shorten recovery time. It is a safe and effective treatment method for patients with uterovaginal and vault prolapse.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2007年第4期278-280,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
子宫脱垂
阴道穹隆脱垂
骶棘韧带固定术
腹腔镜
Uterovaginal and vault prolapse
Sacrospinous ligament fixation
Laparoscopy
