摘要
目的探讨腹腔镜下子宫腹壁悬吊固定术在女性盆底重建术中的应用价值。方法选取2015年10月-2016年10月该院收治的60例盆底功能障碍患者作为研究对象,均在腹腔镜下行子宫腹壁悬吊固定术,进行盆底重建,回顾性分析手术前后的盆底功能、生活质量等情况。结果手术时间平均为(152.56±55.87)min,术中出血量平均为(105.5±60.8)ml,尿管留置时间平均为(3.41±0.72)d,住院时间平均(4.21±1.11)d,术中及术后均未见明显并发症。60例患者均达到治愈标准,随访过程中未见复发。与术前相比,术后半年及术后1年用盆腔器官脱垂定量分度法(POP-Q)分度均明显降低(均P<0.05)。与术前相比,术后半年、术后1年的性功能问卷(PISQ-12)评分、排尿症状评分、排便症状评分、盆腔器官脱垂症状评分及盆底功能障碍问卷(PFDI-20)评分均显著降低(均P<0.05),并且术后1年的PISQ-12评分、排尿症状评分、排便症状评分、盆腔器官脱垂症状评分及PFDI-20评分均显著低于术后半年(均P<0.05)。结论腹腔镜下子宫腹壁悬吊固定术能够有效恢复盆底解剖学结构,改善盆底功能,治疗盆底功能障碍具有确切疗效。
Objective To explore the application value of laparoscopic suspension and fixation of abdominal wall in female pelvic floor reconstruction.Methods A total of 60 patients with pelvic floor dysfunction treated in the hospital from October 2015 to October 2016 were selected as research objects.All the patients were treated with pelvic floor reconstruction using laparoscopic suspension and fixation of abdominal wall.The pelvic floor functions and quality of life before and after surgery were analyzed retrospectively.Results The average operation time was（152.56±55.87） minutes,the average intraoperative blood loss was（105.5±60.8） ml,the average catheter retention time was（3.41±0.72） days,and the average hospital stay was（4.21±1.11） days.There was no obvious complication during or after operation.Sixty patients achieved the cure standard,no recurrence occurred during follow-up.Compared with before surgery,the degree of POP-Q scale at 6 months and 1 year after treatment statistically significantly dropped（P〈0.05）;PISQ-12 score,urinary symptoms score,bowel symptom score,pelvic organ prolapse symptom score,and PFDI-20 score at 6 months and 1 year after treatment statistically significantly decreased（all P〈0.05）.PISQ-12 score,urinary symptom score,bowel symptom score,pelvic organ prolapse symptom score,and PFDI-20 score at 1 year after treatment were statistically significantly lower than those at 6 months after treatment（all P〈0.05）.Conclusion Laparoscopic suspension and fixation of abdominal wall can effectively restore pelvic floor anatomical structure and improve pelvic floor function,the therapeutic effect is exact.
出处
《中国妇幼保健》
CAS
2017年第13期3056-3058,共3页
Maternal and Child Health Care of China
基金
四川省医学会科研课题计划(S15035)
江油市2015年度重点科技计划项目(2015-22)
关键词
盆底功能障碍
盆底重建
子宫腹壁悬吊固定术
腹腔镜
Pelvic floor dysfunction
Pelvic reconstruction
Suspension and fixation of abdominal wall
Laparoscope
