摘要
目的:比较腹腔镜下高位宫骶韧带悬吊术与经阴道骶棘韧带固定术治疗育龄期子宫脱垂患者的效果。方法:选取96例育龄期子宫脱垂患者为研究对象,按照随机数字表法分为观察组和对照组各48例。对照组采用经阴道骶棘韧带固定术治疗,观察组采用腹腔镜下高位宫骶韧带悬吊术治疗,比较两组手术相关指标水平、盆腔器官脱垂定量分期(POP-Q)法测量值、并发症发生率、生命质量[盆底障碍影响简易问卷-7(PFIQ-7)]和性生活质量[盆腔器官脱垂/尿失禁性功能问卷-12(PISQ-12)]。结果:观察组手术时间和住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);术后6个月,两组POP-Q法测量值优于治疗前,差异有统计学意义(P<0.05),但两组间比较,差异无统计学意义(P>0.05);观察组并发症发生率为2.08%,低于对照组的16.67%,差异有统计学意义(P<0.05);术后6个月,观察组PFIQ-7评分低于对照组,PISQ-12评分高于对照组,差异均有统计学意义(P<0.05)。结论:腹腔镜下高位宫骶韧带悬吊术治疗育龄期子宫脱垂患者可缩短手术时间和住院时间,减少术中出血量,提高患者生命质量和性生活质量,降低并发症发生率,效果优于经阴道骶棘韧带固定术治疗。
Objective:To observe effects of high uterosacral ligament suspension and transvaginal sacrospinous ligament fixation in treatment of uterine prolapse in patients of childbearing age.Methods:96 patients of childbearing age with uterine prolapse were selected as the research objects,and were divided into observation group and control group according to the random number table method,48 cases in each.The control group was treated with transvaginal sacrospinous ligament fixation,while the observation group was treated with laparoscopic high uterosacral ligament suspension.The levels of surgery-related indexes,the pelvic organ prolapse quantification(POP-Q)method measured value,the incidence of complications,the quality of life[pelvic floor impact questionnaire-7(PFIQ-7)],and the quality of sexual life were compared between the two groups[pelvic organ prolapsed-urinary incontinence sexual questionnaire-12(PISQ-12)]were compared between the two groups.Results:The operation time and the hospitalization time in the observation group were shorter than those in the control group;the intraoperative blood loss was less than that in the control group;and the differences were statistically significant(P<0.05).6 months after the surgery,the measured values of POP-Q method in the two groups were better than those before the treatment,and the differences were statistically significant(P<0.05);but there was no significant difference between the two groups(P>0.05).The incidence of complications in the observation group was 2.08%,which was lower than 16.67%in the control group,and the difference was statistically significant(P<0.05).6 months after the surgery,the PFIQ-7 score of the observation group was lower than that of the control group;the PISQ-12 score of the observation group was higher than that of the control group;and the differences were statistically significant(P<0.05).Conclusions:Laparoscopic high uterosacral ligament suspension in the treatment of the patients of childbearing age with uterine prolapse can shorten the
作者
杜琳
DU Lin(Department of Obstetrics and Gynecology of Puyang Huimin Hospital,Puyang 457000 Henan,China)
出处
《中国民康医学》
2022年第3期136-139,共4页
Medical Journal of Chinese People’s Health
关键词
育龄期
子宫脱垂
腹腔镜
高位宫骶韧带悬吊术
经阴道骶棘韧带固定术
盆腔器官脱垂定量分期法
并发症
Childbearing age
Uterine prolapse
Laparoscopy
High uterosacral ligament suspension
Transvaginal sacrospinous ligament fixation
Pelvic organ prolapse quantification
Complication
