摘要
目的探讨腹腔镜监视下经阴道骶棘韧带悬吊术治疗中盆腔器官脱垂患者的临床疗效。方法选择2019年10月至2023年10月新乡医学院第一附属医院妇科收治的29例中盆腔器官脱垂患者为研究对象。根据手术方式将患者分为对照组(n=15)和观察组(n=14)。对照组患者行骶棘韧带悬吊术,观察组患者行腹腔镜监视下经阴道骶棘韧带悬吊术。记录2组患者的手术时间、术中出血量、肛门排气时间、术后留置尿管时间以及术后住院时间。观察患者术后3 d内有无阴道肿物脱出,阴道内填塞纱布拔除后有无阴道流血情况,有无术后疼痛、血肿、感染以及拔除尿管后有无尿潴留发生。分别于术前及术后1个月、3个月,采用盆腔器官脱垂定量(POP-Q)分期法计算患者Aa、Ap、Ba、Bp、C指示点的位置相对于处女膜缘的距离,并记录阴道总长度(TVL)。术前及术后3个月,采用盆腔脏器脱垂/尿失禁性生活问卷-12(PISQ-12)评估患者的性生活质量。结果2组患者均顺利完成手术,术中均未出现输尿管、肠管、膀胱、血管、神经损伤及肠梗阻、血栓等情况。观察组患者的手术时间、肛门排气时间、术后住院时间显著短于对照组,术中出血量显著少于对照组(P<0.05);2组患者的术后留置尿管时间比较差异无统计学意义(P>0.05)。2组患者术后均顺利恢复,生命体征平稳,术后3 d内均无阴道肿物脱出,拔除阴道填塞纱布后均无明显阴道出血。对照组患者术后并发症发生率为26.67%(4/15),观察组患者术后并发症发生率为14.29%(2/14),2组患者术后并发症发生率比较差异无统计学意义(χ^(2)=0.676,P>0.05)。2组患者术前Aa、Ap、Ba、Bp、C指示点及TVL测量值比较差异均无统计学意义(P>0.05)。2组患者术后1个月、3个月Aa、Ap、Ba、Bp、C指示点测量值与术前比较均显著降低,TVL与术前比较显著增高(P<0.05)。术后1个月、3个月,观察组患者C指示�
Objective To investigate the clinical efficacy of transvaginal sacrospinous ligament suspension under laparoscopic surveillance in patients with pelvic organ prolapse.Methods A total of 29 patients with middle pelvic organ prolapse who were admitted to the Department of Gynecology of the First Affiliated Hospital of Xinxiang Medical University from October 2019 to October 2023 were selected as the research subjects.The patients were divided into the control group(n=15)and the observation group(n=14)according to the surgical method.Patients in the control group underwent sacrospinous ligament suspension,and patients in the observation group underwent transvaginal sacrospinous ligament suspension under laparoscopic surveillance.The operation duration,intraoperative bleeding,anal exhaust time,postoperative urinary catheter indwelling time and postoperative hospital stay were recorded in the two groups.The patients were observed for vaginal mass prolapse within 3 days after surgery,vaginal bleeding after vaginal tamponade gauze removal,postoperative pain,hematoma,infection,and urinary retention after urinary catheter removal.The distance of the position of the indication points Aa,Ap,Ba,Bp and C from the hymen edge was calculated by pelvic organ prolapse quantification(POP-Q)staging method and the total vaginal length(TVL)was recorded before,1 month and 3 months after the surgery,respectively.Before and 3 months after the surgery,the pelvic organ prolapse/urinary incontinence sexual life questionnaire-12(PISQ-12)was used to evaluate the quality of sexual life of patients.Results Patients in the two groups underwent surgery successfully,and there was no ureter,intestinal canal,bladder,blood vessel and nerve injury,intestinal obstruction or thrombosis.The operation duration,anal exhaust time and postoperative hospital stay of patients in the observation group were significantly shorter than those of the control group,and the intraoperative bleeding was significantly lower than that of the control group(P<0.05);there wa
作者
李柯欣
杨君
王慧玲
LI Kexin;YANG Jun;WANG Huiling(Gynecology Ward II,the First Affiliated Hospital of Xinxiang Medical University,Weihui 453100,Henan Province,China)
出处
《新乡医学院学报》
CAS
2024年第10期973-978,共6页
Journal of Xinxiang Medical University
基金
新乡市优生与生育力保护重点实验室项目。
关键词
盆腔器官脱垂
腹腔镜
经阴道骶棘韧带悬吊术
疗效
pelvic organ prolapse
laparoscope
transvaginal sacrospinous ligament suspension
efficacy
