摘要
目的:探讨腹腔镜下脱垂子宫腹直肌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1月至2017年12月大理市第一人民医院收治的30例子宫脱垂患者作为研究对象,均在腹腔镜下行脱垂子宫腹直肌悬吊固定术,进行盆底重建,观察治疗效果。结果:研究组手术时间平均为(150.43±53.65)min,术中出血量平均为(87.2±51.3)mL,尿管留置时间平均为(5.63±0.81)d,住院时间平均为(7.28±1.23)d,30例患者均成功达到治愈标准,术中及术后均未见显著的并发症,未出现复发情况。与术前相比较,本组患者术后6个月及1年POP-Q分度比较差异有统计学意义(P<0.05),与术前相比,术后6个月POPDI-6、PISQ-12评分、PFDI-20评分均显著降低(P均<0.01);CRADI-8、UDI-6术后6个月评分与术前相比差异有统计学意义(P<0.05)。结论:腹腔镜下脱垂子宫腹直肌悬吊固定术安全且易于操作,临床效果显著,损伤小,恢复快,值得临床推广应用。
Objective:To explore the application value of laparoscopic suspension and fixation of abdominal wall in female pelvic floor reconstruction surgery. Methods:A total of 30 patients with pelvic floor dysfunction treated in the First People's Hospital of Dali City from January 2015 to December 2017 were selected as the research objects. All the patients were treated with pelvic floor reconstruction surgery 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 time of operation was(150.43±53.65) min, the average amount of bleeding during surgery was(87.2±51.3)mL, the time of indwelling urinary catheter was(5.63±0.81)d, and average length of hospitalization was(7.28 ± 1.23)d. All the 30 patients were successfully cured. No significant complications and recurrence occurred during and after the operation. Compared with pre-operation, there were statistically significant differences in POP-Q scores six months after surgery and one year after surgery (P<0.05). Compared with pre-operation, POPDI-6 score, PISQ-12 score and PFDI-20 score of six months after surgery were significantly lower(all P<0.01);CRADI-8 score, UDI-6 score of six months after surgery showed statistically significant differences in compared with that before surgery(all P<0.05). Conclusion:Laparoscopic suspension and fixation of abdominal wall is safe and easy to operate, clinical effect is significant, injury is small, recovery is fast, and it is worthy of clinical application.
作者
王彬
杨思丽
罗万训
Wang Bin;Yang Sili;Luo Wanxun(Department of Gynecology, The First People's Hospital of Dali City, Dali, Yunnan 671000, China)
出处
《大理大学学报》
CAS
2019年第8期50-53,共4页
Journal of Dali University
关键词
盆底重建
子宫腹直肌悬吊固定术
腹腔镜
盆腔脏器脱垂
pelvic floor reconstruction
suspension and fixation of abdominal wall
laparoscope
pelvic organ prolapse
